Retina Center of New Jersey PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA02750700 Issued in NJ

Legal business name

RETINA CENTER OF NEW JERSEY PA

Practice address

509 E Broad St
Westfield, NJ 07090-2115

Phone

(908) 232-0909

Fax

(908) 232-4339

NPI assigned

Apr 23, 2010

Last updated

May 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marvin F Kraushar, M.D.

Title

President

Phone

(908) 232-0909

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1255658712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902115",
            "telephone_number": "908-232-0909",
            "fax_number": "908-232-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902115",
            "telephone_number": "908-232-0909",
            "fax_number": "908-232-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CENTER OF NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "KRAUSHAR",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-232-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02750700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2966301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefani Rehova
• Gerard Cornelius Reidy Jr., LAC, MSTOM , CA
• Mary Katherine Reilly, OTR
• Paul P Repage, OD
• Daiane A Resende, NP
• Riachi, P.C.
• Stephanie M Rinaldi, OT, MS
• Robert George Ripper III
• Fayth Risso
• Wendy Rivers, M.D.

• Ophthalmology Physician in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.