William Robert Marcolini, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00575600 Issued in NJ

Practice address

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009

Phone

(732) 750-0400

Fax

(732) 750-1507

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton Family Eyecare Center, LLCGroup PAC ID 7517970114, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinton Family Eyecare Center, LLC

  • Optometrist
  • Clinton, NJ
  • NPI 1346228285
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1215928320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOLINI",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00575600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7767200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Danielle Mancini, PA-C
• Sushmitha Manda
• Mango Staffing & Billing Inc
• Kunal Manocha, DMD
• Rajiv K Manocha
• Marina Hospice of NJ Inc
• Kiara Martinez
• Nicole Marzella, RD
• Christina Mascuch, LSW, LCADC
• Chelsea Renee Mathis, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.