Manalapan Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA 05545 Issued in NJ

Legal business name

MANALAPAN EYE ASSOCIATES LLC

Doing business as

The Eye Center at Jackson

Practice address

260 N County Line Rd
Jackson, NJ 08527-4473

Phone

(732) 730-3937

Fax

(732) 730-8499

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rajeev Raghu, OD

Title

Owner

Phone

(732) 730-3937

Specialties & licenses 2

Addresses

Other names 1

• The Eye Center at Jackson Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1194911438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 N COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274473",
            "telephone_number": "732-730-3937",
            "fax_number": "732-730-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274473",
            "telephone_number": "732-730-3937",
            "fax_number": "732-730-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANALAPAN EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "RAGHU",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-730-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 05545",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Center at Jackson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Center at Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Lee Mahler, APN, C
• Iftekhar Mahmud, DO
• Ambica Mallipeddi, DDS
• Maria Mamrega
• Mana Health Partners NJ PC
• Devora Mandel
• Gitty Mandel, BCBA
• Michelle Mandelbaum
• Rosemarie Manfredi, PSY.D.
• Benoit Mapa, D.O.

• Optometrist in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.