Individual provider Active NPI

Mei Wen Moy, OD

  • Optometrist
  • Bayonne, NJ
National Provider Identifier
1245679828
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00683600 Issued in NJ
Practice address
21 Goldsborough Dr
Bayonne, NJ 07002-5069
Phone
(201) 354-2350
Fax
(551) 800-7778
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00683600 NJ Primary
Optometrist 152W00000X 008091 NY

Addresses

Primary practice location

21 Goldsborough Dr
Bayonne, NJ 07002-5069

Mailing address

54 Summit St
Ridgefield Park, NJ 07660-1427
Phone (512) 299-5907

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
I20191016002663 NJ Practitioner - Optometry 8921308131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Goldsborough Dr
Bayonne, NJ 07002-5069
Phone (201) 354-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Eyecare LLC Optometrist CurrentSince Aug 20, 2019 Accepting new patients

Locations

21 Goldsborough Dr
Bayonne, NJ 07002
Phone (201) 354-2335

Organizations & group practices 1

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1245679828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUMMIT ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601427",
            "telephone_number": "512-299-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GOLDSBOROUGH DR",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025069",
            "telephone_number": "201-354-2350",
            "fax_number": "551-800-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "MEI",
        "middle_name": "WEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00683600",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.