Active NPI
Affiliated Eye Surgeons Northern New Jersey P a
Doing business as Affiliated Eye Surgeons
- Ophthalmology Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2011
- 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
- Mrs. Nancy Felice Medford
- Title
- Administration
- Phone
- (973) 984-5005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Affiliated Eye Surgeons
- Ophthalmology Physician
- Morristown, NJ
- NPI 1528029014
7315939394
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Affiliated Eye Surgeons
- Ophthalmology Physician
- Morristown, NJ
- NPI 1528029014
O20040331000607
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Kearny, NJ
- NPI 1972348753
-
- Ophthalmology Physician
- Denville, NJ
- NPI 1497929509
-
- Ophthalmology Physician
- Morristown, NJ
- NPI 1437545191
-
- Ophthalmology Physician
- Morristown, NJ
- NPI 1023079522
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.