Individual provider Active NPI

Magdalena Michalski-Paff, OD

  • Optometrist
  • Woodbridge, NJ
National Provider Identifier
1174627673
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA00588700 Issued in NJ
Practice address
655 Amboy Ave
Woodbridge, NJ 07095-3159
Phone
(732) 636-4888
Fax
(732) 696-0737
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA00588700 NJ Primary

Addresses

Primary practice location

655 Amboy Ave
Woodbridge, NJ 07095-3159

Mailing address

655 Amboy Ave
Woodbridge, NJ 07095-3159
Phone (732) 636-4222

Other identifiers 1

IdentifierTypeStateIssuer
0059374MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000058 NJ Practitioner - Optometry 2365404183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony J Boni OD and Alicia N Dorman OD/PAGroup PAC ID 7315833829, 7 clinicians

Practice addresses (Care Compare)

655 Amboy Ave
Woodbridge, NJ 07095-3159
Phone (732) 636-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA00588700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony J Boni OD and Alicia N Dorman OD/PA Optometrist CurrentSince Jun 15, 2004 Accepting new patients

Locations

16 Romaine Rd
Mountain Lks, NJ 07046
Phone (973) 335-2020

40 Mayhill St
Saddle Brook, NJ 07663
Phone (201) 843-4430

245 Paterson Ave
West Paterson, NJ 07424
Phone (973) 256-3912

655 Amboy Ave
Woodbridge, NJ 07095
Phone (732) 510-7358

655 Amboy Ave
Ste 305
Woodbridge, NJ 07095

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1174627673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953159",
            "telephone_number": "732-636-4222",
            "fax_number": "732-636-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953159",
            "telephone_number": "732-636-4888",
            "fax_number": "732-696-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSKI-PAFF",
        "first_name": "MAGDALENA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA00588700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059374",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.