Individual provider Active NPI

Avanti Pramod Rajan, O.D.

  • Optometrist
  • Woodbridge, NJ
National Provider Identifier
1235169830
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00592300 Issued in NJ
Practice address
161A Woodbridge Center Dr.
Woodbridge, NJ 07095
Phone
(732) 855-7950
Fax
(732) 726-1735
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00592300 NJ Primary

Addresses

Primary practice location

161A Woodbridge Center Dr.
Woodbridge, NJ 07095

Mailing address

161A Woodbridge Center Dr.
Woodbridge, NJ 07095
Phone (732) 855-7950

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000258 NJ Practitioner - Optometry 1951369792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contact Lens and Vision Consultants, P.aGroup PAC ID 2466416094, 9 clinicians

Practice addresses (Care Compare)

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095-1485
Phone (732) 855-7950

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens and Vision Associates, P.a Optometrist CurrentSince Aug 4, 2017 Accepting new patients
Contact Lens and Vision Consultants, P.a Optometrist CurrentSince Jul 12, 2004 Accepting new patients

Locations

755 State Route 18
East Brunswick, NJ 08816
Phone (732) 238-9100

55 Parsonage Rd
Unit 501
Edison, NJ 08837
Phone (732) 548-7337

3710 Route 9 S
Ste 1501
Freehold, NJ 07728
Phone (732) 780-3000

161 A Woodbridge Ctr Dr
Woodbridge, NJ 07095
Phone (732) 698-1898

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1235169830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161A WOODBRIDGE CENTER DR.",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-855-7950",
            "fax_number": "732-726-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161A WOODBRIDGE CENTER DR.",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-855-7950",
            "fax_number": "732-726-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "AVANTI",
        "middle_name": "PRAMOD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00592300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.