Organization Active NPI

Affiliated Eye Surgeons Northern New Jersey P a

Doing business as Affiliated Eye Surgeons

  • Ophthalmology Physician
  • West Orange, NJ
National Provider Identifier
1225230261
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
AFFILIATED EYE SURGEONS NORTHERN NEW JERSEY P A
Doing business as
Affiliated Eye Surgeons
Practice address
405 Northfield Ave
Suite 206
West Orange, NJ 07052-3026
Phone
(973) 736-3322
Fax
(973) 736-7317
NPI assigned
Jun 1, 2007
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mrs. Nancy Felice Medford
Title
Administration
Phone
(973) 984-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

405 Northfield Ave
Suite 206
West Orange, NJ 07052-3026

Mailing address

95 Madison Ave
Suite 400
Morristown, NJ 07960-6092
Phone (973) 984-5005

Other names 1

  • Affiliated Eye Surgeons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040331000607 NJ Part B Supplier - Clinic/Group Practice 7315939394 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Orange, NJ; Morristown, NJ; Denville, NJ
O20111003000226 NJ DME Supplier - Physician - Ophthalmology 7315939394 Practice locations: West Orange, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

95 Madison Ave
Ste 400
Morristown, NJ 07960
Phone (973) 984-5005

405 Northfield Ave
Ste 206
West Orange, NJ 07052
Phone (973) 736-3322

Practitioners & affiliated clinicians

Practitioners 4

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1225230261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-984-5005",
            "fax_number": "973-984-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NORTHFIELD AVE",
            "address_2": "SUITE 206",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523026",
            "telephone_number": "973-736-3322",
            "fax_number": "973-736-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED EYE SURGEONS NORTHERN NEW JERSEY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "MEDFORD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "FELICE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "973-984-5005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Eye Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.