Individual provider Active NPI

Miriam R Brown, M.D.

  • Ophthalmology Physician
  • Moorestown, NJ
National Provider Identifier
1225035306
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA07621600 Issued in NJ
Practice address
509 S Lenola Rd Ste 11a
Moorestown, NJ 08057-1561
Phone
(856) 234-0258
Fax
(856) 727-9518
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD067937L PA
Ophthalmology Physician 207W00000X 25MA07621600 NJ Primary

Addresses

Primary practice location

509 S Lenola Rd Ste 11a
Moorestown, NJ 08057-1561

Mailing address

509 S Lenola Rd Ste 11a
Moorestown, NJ 08057-1561
Phone (856) 234-0258

Other identifiers 1

IdentifierTypeStateIssuer
0005444MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address miriam.brown@direct.sjeye.nextgenshare.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000741 NJ Practitioner - Ophthalmology 8022041854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

103 Old Marlton Pike
Medford, NJ 08055-8772
Phone (609) 714-8761

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 882-8833

25 Homestead Dr
Suite a
Columbus, NJ 08022-1005
Phone (609) 298-0888

628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300

Hospital & facility affiliations

  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

Merit-based Incentive Payment System (MIPS)

Final score
92.73 of 100Reported as individual
Quality
86.79
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07621600NJMDOphthalmology Physician
MD067937LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC CurrentSince Jan 1, 2022 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
West Philadelphia Eye Assoc Past Accepting new patients
West Philadelphia Eye Associates Inc. Ophthalmology Past Accepting new patients

Locations

25 Homestead Dr
Ste A
Columbus, NJ 08022
Phone (609) 298-0888

103 Old Marlton Pike
Ste 216
Medford, NJ 08055
Phone (609) 714-8761

509 S Lenola Rd
Bldg 11A
Moorestown, NJ 08057
Phone (856) 231-5911

509 S Lenola Rd
Bldg 11
Moorestown, NJ 08057
Phone (856) 234-0222

509 S Lenola Rd
Ste 11A
Moorestown, NJ 08057
Phone (856) 231-5920

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1225035306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S LENOLA RD STE 11A",
            "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 STE 11A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571561",
            "telephone_number": "856-234-0258",
            "fax_number": "856-727-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MIRIAM",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD067937L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07621600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005444",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miriam.brown@direct.sjeye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "509 S Lenola Rd Ste 11A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080571561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.