Active NPI
Coastal Jersey Eye Center LLC
- Ophthalmology Physician
- Linwood, NJ
National Provider Identifier
1215985544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- COASTAL JERSEY EYE CENTER LLC
- Practice address
- 2021 New Road
Ste 6
Linwood, NJ 08221 - Phone
- (609) 927-3373
- Fax
- (609) 927-4041
- NPI assigned
- May 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen H Uretsky, MD
- Title
- Proprietor
- Phone
- (609) 927-3373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2021 New Road
Ste 6
Linwood, NJ 08221
Mailing address
2021 New Road
Ste 6
Linwood, NJ 08221
Phone (609) 927-3373
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669921 | Other | PPO AMERIHEALTH | |
| 3724882 | Other | AETNA | |
| 086183 | Other | NJ | MEDICARE |
| DC5481 | Other | GA | RAILROAD MEDICARE |
| 2345288000 | Other | HMO AMERIHEALTH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1215985544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 NEW ROAD",
"address_2": "STE 6",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "08221",
"telephone_number": "609-927-3373",
"fax_number": "609-927-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 NEW ROAD",
"address_2": "STE 6",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "08221",
"telephone_number": "609-927-3373",
"fax_number": "609-927-4041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL JERSEY EYE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "URETSKY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "609-927-3373",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO AMERIHEALTH",
"identifier": "1669921",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3724882",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "086183",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC5481",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO AMERIHEALTH",
"identifier": "2345288000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Linwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.