Individual provider Active NPI

Omar Mobin-Uddin, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • New Brunswick, NJ
National Provider Identifier
1235126327
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
25MA07590700 Issued in NJ
Practice address
10 Plum Street
6TH. Floor Suite 600
New Brunswick, NJ 08901
Phone
(732) 546-3910
Fax
(480) 287-9735
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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 25MA07590700 NJ
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 25MA07590700 NJ 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 2

IdentifierTypeStateIssuer
P3012683OtherNJOXFORD
2K5268OtherNJHEALTH NET

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
I20040209000852 NJ Practitioner - Ophthalmology 3577457860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Plum St
Suite 600
New Brunswick, NJ 08901-2065
Phone (732) 546-3910

Merit-based Incentive Payment System (MIPS)

Final score
94.43 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
81.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Institute, PC Ophthalmology CurrentSince May 1, 2003 Accepting new patients
Osu Eye Physicians and Surgeons LLC Ophthalmology PastSince Sep 1, 2017 Accepting new patients
Ohio State University Hospitals Past Accepting new patients

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

10 Plum St
Fl 6
New Brunswick, NJ 08901
Phone (732) 546-3910

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1235126327",
    "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": {
        "last_name": "MOBIN-UDDIN",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07590700",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NJ",
            "license": "25MA07590700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3012683",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K5268",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.