Individual provider Active NPI

Elliot S. Grand, MD

  • Ophthalmology Physician
  • Freehold, NJ
National Provider Identifier
1184704744
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA05432200 Issued in NJ
Practice address
500 W Main St
Freehold, NJ 07728-2500
Phone
(732) 462-8707
Fax
(732) 780-3699
NPI assigned
Oct 17, 2006
Last updated
Dec 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA05432200 NJ Primary

Addresses

Primary practice location

500 W Main St
Freehold, NJ 07728-2500

Mailing address

500 W Main St
Freehold, NJ 07728-2500
Phone (732) 462-8707

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000354 NJ Practitioner - Ophthalmology 9234296062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5 Centre Dr
1B
Monroe Township, NJ 08831-1864
Phone (609) 409-9277

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05432200NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Nov 1, 2021 Accepting new patients
Associated Retinal Consultants LLC CurrentSince Nov 1, 2021 Accepting new patients
Millennium Eye Care, LLC Ophthalmology Current Accepting new patients

Locations

500 W Main St
Freehold, NJ 07728
Phone (732) 462-8707

5 Centre Dr
#1B
Monroe Township, NJ 08831
Phone (609) 409-2777

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

100 Canal Pointe Blvd
Ste 100
Princeton, NJ 08540
Phone (609) 419-1920

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

Interoperability endpoints

  • Direct secure messaging: egrand@mec1089.srs-direct.com
  • Direct secure messaging: egrand425154@direct.ahsys.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1184704744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-8707",
            "fax_number": "732-780-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-8707",
            "fax_number": "732-780-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAND",
        "first_name": "ELLIOT",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05432200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.