Organization Active NPI

NJ Cataract and Laser Institute

  • Ophthalmologic Surgery Clinic/Center
  • Lakewood, NJ
National Provider Identifier
1205348083
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
NJ CATARACT AND LASER INSTITUTE
Practice address
101 Prospect St
Lakewood, NJ 08701-5020
Phone
(908) 309-9862
NPI assigned
Nov 1, 2017
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
David LeventerNPI 1578659835
Title
Pres
Phone
(908) 309-9862

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

101 Prospect St
Lakewood, NJ 08701-5020

Mailing address

PO Box 118
Oakhurst, NJ 07755-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181011000025 NJ Part B Supplier - Ambulatory Surgical Center 1557629607 Receives reassigned benefits from 8 practitioners
Practice locations: Lakewood, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205348083. Details of each certification follow.

Ambulatory surgical center certification: CCN 31C0001020

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NJ CATARACT AND LASER INSTITUTE LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 7, 1988
Last certification
Feb 10, 2022
Ownership / control type
Proprietary
Facility address
101 Prospect Street, Suite 102
Lakewood, NJ 08701

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2015788NJ Cataract & Laser Institute101 Prospect Street Suites 101 & 102, Lakewood, NJ 08701Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1205348083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077550118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPECT ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015020",
            "telephone_number": "908-309-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ CATARACT AND LASER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "LEVENTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "908-309-9862"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.