Individual provider Active NPI

Nina Bajaj, O.D.

  • Optometrist
  • Newark, NJ
National Provider Identifier
1184038150
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00684000 Issued in NJ
Practice address
279 Ferry St
Newark, NJ 07105-3400
Phone
(973) 344-2212
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008124 NY
Optometrist 152W00000X 27OA00684000 NJ Primary

Addresses

Primary practice location

279 Ferry St
Newark, NJ 07105-3400

Mailing address

279 Ferry St
Newark, NJ 07105-3400
Phone (973) 344-2212

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
I20190404000868 NJ Practitioner - Optometry 8628391034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008124NYMDMental Health Counselor
27OA00684000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
NB Eye Care, LLC Optometrist CurrentSince Jan 22, 2019 Accepting new patients
Millenium Eye Care, LLC Optometrist Past Accepting new patients

Locations

1 Health Plz
Bldg 325
East Hanover, NJ 07936
Phone (862) 778-7820

279 Ferry St
Newark, NJ 07105
Phone (973) 344-2212

106 Ferry St
Newark, NJ 07105
Phone (973) 589-0104

Organizations & group practices 2

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1184038150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053400",
            "telephone_number": "973-344-2212",
            "fax_number": "973-344-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053400",
            "telephone_number": "973-344-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "NINA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008124",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00684000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.