Individual provider Active NPI

Salman Farooqui, OD

  • Optometrist
  • Eatontown, NJ
National Provider Identifier
1194346296
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00696500 Issued in NJ
Practice address
180 Highway 35 Ste 2106
Eatontown, NJ 07724-2017
Phone
(732) 460-1010
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00696500 NJ Primary

Addresses

Primary practice location

180 Highway 35 Ste 2106
Eatontown, NJ 07724-2017

Mailing address

180 Highway 35 Ste 2106
Eatontown, NJ 07724-2017
Phone (732) 460-1010

Other practice location 1

8360 Old York Rd
Elkins Park, PA 19027-1576
Phone (215) 780-3160

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
I20200910003564 NJ Practitioner - Optometry 2163840901 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00696500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Visionair Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Luxottica of America Inc. PastSince Mar 27, 2022 Accepting new patients
Barbara J Tarbell, OD Optometrist PastSince Sep 1, 2020 Accepting new patients

Locations

305 Omni Dr
Hillsborough, NJ 08844
Phone (610) 653-8849

Organizations & group practices 4

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1194346296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HIGHWAY 35 STE 2106",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242017",
            "telephone_number": "732-460-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HIGHWAY 35 STE 2106",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242017",
            "telephone_number": "732-460-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8360 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190271576",
            "country_code": "US",
            "telephone_number": "215-780-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQUI",
        "first_name": "SALMAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00696500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.