Individual provider Active NPI

Audrey Lynn Seligsohn, D.O.

  • Ophthalmology Physician
  • Montville, NJ
National Provider Identifier
1194787911
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MB07570000 Issued in NJ
Practice address
137 Main Road
Suite 300
Montville, NJ 07045-9250
Phone
(973) 299-6304
Fax
(973) 299-6304
NPI assigned
Apr 5, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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 25MB07570000 NJ Primary

Addresses

Primary practice location

137 Main Road
Suite 300
Montville, NJ 07045-9250

Mailing address

137 Main Road
Suite 300
Montville, NJ 07045-9250
Phone (973) 299-6300

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
I20040325000208 NJ Practitioner - Ophthalmology 2062304207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rowan University School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

137 Main Rd
Suite 300
Montville, NJ 07045-9231
Phone (973) 299-6300

Merit-based Incentive Payment System (MIPS)

Final score
94.3 of 100Reported as individual
Quality
88.61
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Care and Glaucoma Center of Montville, PC Ophthalmology CurrentSince Sep 21, 2009 Accepting new patients

Locations

137 Main Rd
Ste 300
Montville, NJ 07045
Phone (973) 299-6300

Interoperability endpoints

  • Direct secure messaging: aseligsohn@advancedeye.direct.eyemdemr.com
  • Direct secure messaging: audrey.seligsohn.p7@direct.grophthalmology.nextgenshare.com

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, 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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1194787911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MAIN ROAD",
            "address_2": "SUITE 300",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459250",
            "telephone_number": "973-299-6300",
            "fax_number": "973-299-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ROAD",
            "address_2": "SUITE 300",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459250",
            "telephone_number": "973-299-6304",
            "fax_number": "973-299-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGSOHN",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB07570000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.