Organization Active NPI

Marlboro Family Eye Care, Inc.

  • Optometrist
  • Marlboro, NJ
National Provider Identifier
1194135673
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00584200 Issued in NJ
Legal business name
MARLBORO FAMILY EYE CARE, INC.
Practice address
130 S Main St
Unit 4
Marlboro, NJ 07746-2477
Phone
(732) 252-6555
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Jane Kutsowsky, O.D.NPI 1063518801
Title
Optometrist
Phone
(347) 281-2939

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00584200 NJ Primary
Eyewear Supplier 332H00000X 27OA00584200 NJ

Addresses

Primary practice location

130 S Main St
Unit 4
Marlboro, NJ 07746-2477

Mailing address

130 S Main St
Unit 4
Marlboro, NJ 07746-2477
Phone (732) 252-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141106001985 NJ Part B Supplier - Clinic/Group Practice 9335361351 Receives reassigned benefits from 3 practitioners
Practice locations: Marlboro, NJ
O20150511002304 NJ DME Supplier - Physician - Optometrist 9335361351 Practice locations: Marlboro, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Marlboro Family Eye Care DC130 S Main Street Unit 4, Marlboro, NJ 07746-2477(732) 252-6555 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Sep 6, 2014

National Provider Directory

National Provider Directory

Locations

130 S Main St
Unit 4
Marlboro, NJ 07746
Phone (732) 252-6555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1194135673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "UNIT 4",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462477",
            "telephone_number": "732-252-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "UNIT 4",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462477",
            "telephone_number": "732-252-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO FAMILY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "KUTSOWSKY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "347-281-2939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00584200",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "27OA00584200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.