NPIMap

Organization Active NPI

Shore Eye Associates PA

  • Durable Medical Equipment & Medical Supplies
  • Whiting, NJ
National Provider Identifier
1174283717
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHORE EYE ASSOCIATES PA
Practice address
550 Route 530 Ste 19
Whiting, NJ 08759-3140
Phone
(732) 350-3344
NPI assigned
Dec 22, 2021
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey L Martin, MDNPI 1437160579
Title
Owner
Phone
(855) 295-4144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

550 Route 530 Ste 19
Whiting, NJ 08759-3140

Mailing address

550 Route 530 Ste 19
Whiting, NJ 08759-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220512001197 NJ DME Supplier - Physician - Ophthalmology 9133195126 Practice locations: Whiting, NJ

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Shore Optical8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

445 Brick Blvd
Ste 106
Brick, NJ 08723
Phone (732) 903-7083

2018 Highway 71
Ste 100
Spring Lake, NJ 07762
Phone (732) 359-8380

14 Mule Rd
Toms River, NJ 08755
Phone (732) 286-0900

14 Mule Rd
Ste 1
Toms River, NJ 08755
Phone (732) 286-0900

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1174283717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ROUTE 530 STE 19",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087593140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ROUTE 530 STE 19",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087593140",
            "telephone_number": "732-350-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-295-4144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.