NPIMap

Organization Active NPI

Somerset Eye Care, LLC

  • Optometrist
  • North Brunswick, NJ
National Provider Identifier
1205967973
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA5536 Issued in NJ
Legal business name
SOMERSET EYE CARE, LLC
Practice address
2090 State Route 27
Suite 105
North Brunswick, NJ 08902-1142
Phone
(732) 658-6765
Fax
(732) 568-0041
NPI assigned
Mar 7, 2007
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Jonathan Ivor Fishbein, O.D.NPI 1952331704
Title
Optometrist
Phone
(732) 658-6765

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 MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OA5536 NJ Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OA5492 NJ

Addresses

Primary practice location

2090 State Route 27
Suite 105
North Brunswick, NJ 08902-1142

Mailing address

2090 State Route 27
Suite 105
North Brunswick, NJ 08902-1142
Phone (732) 658-6765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000371 NJ Part B Supplier - Clinic/Group Practice 5597813030 Receives reassigned benefits from 8 practitioners
Practice locations: North Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

2090 State Route 27
Ste 105
North Brunswick, NJ 08902
Phone (732) 265-8676

37 Clyde Rd
Ste 104
Somerset, NJ 08873
Phone (732) 568-9577

Practitioners & affiliated clinicians

Practitioners 12

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1205967973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 STATE ROUTE 27",
            "address_2": "SUITE 105",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021142",
            "telephone_number": "732-658-6765",
            "fax_number": "732-568-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 STATE ROUTE 27",
            "address_2": "SUITE 105",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021142",
            "telephone_number": "732-658-6765",
            "fax_number": "732-568-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "FISHBEIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "IVOR",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-658-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA5536",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA5492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.