Bayshore Ophthalmology, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07128400 Issued in NJ

Legal business name

BAYSHORE OPHTHALMOLOGY, LLC

Practice address

719 N Beers St
Suite 1B
Holmdel, NJ 07733-1522

Phone

(732) 264-6464

Fax

(732) 264-5114

NPI assigned

Aug 30, 2006

Last updated

Jun 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Surekha Collur, M.D.NPI 1750491015

Title

Member

Phone

(732) 264-6464

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bayshore Ophthalmology, LLC

  • Ophthalmology Physician
  • Tinton Falls, NJ
  • NPI 1114101037

  O20040419001224

  Same enrollment

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Surekha Collur, M.D.

  • Ophthalmology Physician
  • Holmdel, NJ
  • NPI 1750491015
  Medicare reassignment Care Compare group NPD Authorized official
• Rajeshwari Atkuri, MD

  • Ophthalmology Physician
  • Camden, NJ
  • NPI 1699750463
  Medicare reassignment Care Compare group NPD
• Robert Edward Satty, O.D.

  • Optometrist
  • Neptune, NJ
  • NPI 1295892347
  Medicare reassignment Care Compare group NPD
• Khelly Savant

  • Glaucoma Specialist (Ophthalmology) Physician
  • Clifton, NJ
  • NPI 1639674641
  Medicare reassignment Care Compare group NPD
• Jeff E Murad, M.D.

  • Ophthalmology Physician
  • Clifton Park, NY
  • NPI 1548230436

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1215047493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE 1B",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-264-6464",
            "fax_number": "732-264-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE 1B",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-264-6464",
            "fax_number": "732-264-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE OPHTHALMOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "COLLUR",
        "authorized_official_first_name": "SUREKHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-264-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00562000",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07128400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayshore Emergency Medical Associates LLC
• Bayshore Health and Wellness LLC
• Bayshore Health Care Center (The Willows at Holmdel)
• Bayshore Hospital
• Bayshore Integrated Physicians Association, P.C.
• Bayshore Pediatric Association LLC
• Bayshore Rehab Medicine, PC
• Sam T Bebawy, MD FCCP
• Becerra Wellness LLC
• Mary Elizabeth Beinert, LPN

• Ophthalmology Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.