South Jersey Eye Physicians PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SOUTH JERSEY EYE PHYSICIANS PA

Practice address

509 S Lenola Rd
Suite 11
Moorestown, NJ 08057-1561

Phone

(856) 234-0258

Fax

(856) 727-9518

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James G Nachbar, M.D.

Title

President

Phone

(856) 234-0258

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• South Jersey Eye Physicians, LLC

  dba Surgical Center at South Jersey Eye Physicians

  • Ambulatory Surgical Clinic/Center
  • Moorestown, NJ
  • NPI 1023072824

  O20040923001064

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael D. Melzer, OD

  • Optometrist
  • Marlton, NJ
  • NPI 1801977889
  NPD (past)
• Mark Hershowitz, O.D.

  • Optometrist
  • Watertown, NY
  • NPI 1275530834
  NPD (past)
• Laura E Lehn, OD

  • Optometrist
  • York, PA
  • NPI 1215924360
  NPD (past)
• Kurt Stoltz, O.D.

  • Optometrist
  • Lafayette Hill, PA
  • NPI 1700881513
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1215978408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S LENOLA RD",
            "address_2": "SUITE 11",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571561",
            "telephone_number": "856-234-0258",
            "fax_number": "856-727-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S LENOLA RD",
            "address_2": "SUITE 11",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571561",
            "telephone_number": "856-234-0258",
            "fax_number": "856-727-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY EYE PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "NACHBAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-234-0258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA0186",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5598206",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2827301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Sokoloff, MD
• Heeyah Song, MD
• Lauren Sonino, MS, OTR/L
• Ingrid Soto, RD
• South Jersey Dental Care
• South Jersey Eye Physicians, LLC (Surgical Center at South Jersey Eye Physicians)
• South Jersey Osteopathic Care Center, LLC
• South Jersey Smiles Inc.
• South Jersey Therapy Collective LLC (Moorestown Therapy Collective)
• Vincent Spagnuolo, M.D.

• Ophthalmology Physician in Moorestown, NJ
• Providers in Moorestown, 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 Jan 28, 2008; 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.