Organization Active NPI

Glaucoma Institute, PC

  • Ophthalmology Physician
  • New Brunswick, NJ
National Provider Identifier
1225084791
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA INSTITUTE, PC
Practice address
10 Plum Street
6TH. Floor Suite 600
New Brunswick, NJ 08901
Phone
(732) 546-3910
Fax
(480) 287-9735
NPI assigned
May 26, 2006
Last updated
Dec 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Omar Mobin-Uddin, M.D.NPI 1235126327
Title
Glaucoma Specialist
Phone
(732) 546-3910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

10 Plum Street
6TH. Floor Suite 600
New Brunswick, NJ 08901

Mailing address

10 Plum Street
6TH. Floor Suite 600
New Brunswick, NJ 08901
Phone (732) 546-3910

Other identifiers 1

IdentifierTypeStateIssuer
0029505MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000949 NJ Part B Supplier - Clinic/Group Practice 6709770019 Receives reassigned benefits from 2 practitioners
Practice locations: Cranbury, NJ; Edison, NJ; New Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

109 S Main St
Ste 17
Cranbury, NJ 08512
Phone (732) 546-3910

3830 Park Ave
Ste 208
Edison, NJ 08820
Phone (732) 494-0895

10 Plum St
Ste 600
New Brunswick, NJ 08901
Phone (732) 220-1600

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1225084791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLUM STREET",
            "address_2": "6TH. FLOOR SUITE 600",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-546-3910",
            "fax_number": "480-287-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLUM STREET",
            "address_2": "6TH. FLOOR SUITE 600",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-546-3910",
            "fax_number": "480-287-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "MOBIN-UDDIN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "GLAUCOMA SPECIALIST",
        "authorized_official_telephone_number": "732-546-3910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.