Individual provider Active NPI

Natasha Rani Chawla, O.D

  • Optometrist
  • East Brunswick, NJ
National Provider Identifier
1205970340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA-05308 Issued in NJ
Practice address
415 State Route 18
Village Green SHP. Ctr.
East Brunswick, NJ 08816-2305
Phone
(732) 238-7373
Fax
(732) 238-5506
NPI assigned
Feb 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA-05308 NJ Primary

Addresses

Primary practice location

415 State Route 18
Village Green SHP. Ctr.
East Brunswick, NJ 08816-2305

Mailing address

415 State Route 18
Village Green SHP. Ctr.
East Brunswick, NJ 08816-2305
Phone (732) 238-7373

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
I20140904000409 NJ Practitioner - Optometry 7618195645 Reassigns benefits to 1 organization
Practice locations: East Brunswick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ehg NJ Service LLCGroup PAC ID 9335556315, 19 clinicians

Practice addresses (Care Compare)

1278 Hooper Ave
Toms River, NJ 08753-3343
Phone (732) 505-0533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA-05308NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ehg NJ Service LLC Optometrist CurrentSince Jan 28, 2021 Accepting new patients
Prime Eyecare Optometrist PastSince Feb 28, 2014 Accepting new patients
Main Street Clinic, LLC Past Accepting new patients

Locations

326 State Route 18
East Brunswick, NJ 08816
Phone (732) 238-9200

255 Highway 35
Eatontown, NJ 07724
Phone (732) 389-6512

670 US Highway 1 N
Iselin, NJ 08830
Phone (732) 636-1400

179 US Highway 1
Metuchen, NJ 08840

341 E State Rt 4
Paramus, NJ 07652
Phone (201) 489-4500

275 US Highway 22
Springfield, NJ 07081
Phone (973) 376-7900

1278 Hooper Ave
Toms River, NJ 08753
Phone (732) 505-0533

360 US Highway 46
Totowa, NJ 07512
Phone (973) 785-0900

Organizations & group practices 3

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205970340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 STATE ROUTE 18",
            "address_2": "VILLAGE GREEN SHP. CTR.",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162305",
            "telephone_number": "732-238-7373",
            "fax_number": "732-238-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 STATE ROUTE 18",
            "address_2": "VILLAGE GREEN SHP. CTR.",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162305",
            "telephone_number": "732-238-7373",
            "fax_number": "732-238-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "NATASHA",
        "middle_name": "RANI",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA-05308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.