Active NPI
Joni Feldbaum-Smith, O.D.
- Optometrist
- Eatontown, NJ
National Provider Identifier
1225392483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00640500
- Practice address
- 10 Industrial Way E
Suite 102
Eatontown, NJ 07724-3332 - Phone
- (732) 542-0300
- NPI assigned
- Jul 2, 2012
- Last updated
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 007832 | NY | |
| Optometrist | 152W00000X | 27OA00640500 | NJ | Primary |
| Optometrist | 152W00000X | 27OM00112100 | NJ |
Addresses
Primary practice location
10 Industrial Way E
Suite 102
Eatontown, NJ 07724-3332
Mailing address
10 Industrial Way E
Suite 102
Eatontown, NJ 07724-3332
Phone (732) 542-0300
Other names 1
- Joni Feldbaum
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Park Ave
Scotch Plains, NJ 07076-1121
Phone (908) 322-8040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OM00112100 | NJ | MD | Optometrist |
| 007832 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Center of North Jersey LLC | Optometrist | Current | Accepting new patients |
| Eye Institute of Central New Jersey, PC | Past | Accepting new patients | |
| Renal Medicine Associates, PA | Past | Accepting new patients |
Locations
350 Park Ave
Scotch Plains, NJ 07076
Phone (908) 322-8040
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Scotch Plains, NJ
- NPI 1821715103
-
- Point of Service
- Hackensack, NJ
- NPI 1255793329
-
- Specialist
- Cranford, NJ
- NPI 1225171150
-
- Nephrology Physician
- Teaneck, NJ
- NPI 1679529945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1225392483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 INDUSTRIAL WAY E",
"address_2": "SUITE 102",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243332",
"telephone_number": "732-542-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 INDUSTRIAL WAY E",
"address_2": "SUITE 102",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243332",
"telephone_number": "732-542-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDBAUM-SMITH",
"first_name": "JONI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007832",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00640500",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OM00112100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JONI",
"last_name": "FELDBAUM",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.