Active NPI
Amesur Eye Associates, P.a.
- Ophthalmology Physician
- Ridgewood, NJ
National Provider Identifier
1265749964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA07468300
- Legal business name
- AMESUR EYE ASSOCIATES, P.A.
- Practice address
- 947 Linwood Ave
Suite 2 South
Ridgewood, NJ 07450-2939 - Phone
- (201) 857-4751
- Fax
- (201) 857-4752
- NPI assigned
- Sep 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kiran B Amesur, M.D.
- Title
- President
- Phone
- (201) 857-4751
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA07468300 | NJ | Primary |
Addresses
Primary practice location
947 Linwood Ave
Suite 2 South
Ridgewood, NJ 07450-2939
Mailing address
947 Linwood Ave
Suite 2 South
Ridgewood, NJ 07450-2939
Phone (201) 857-4751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065952 | Other | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
947 Linwood Ave
Ste 2S
Ridgewood, NJ 07450
Phone (201) 857-4751
Interoperability endpoints
- kamesur@amesureye.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Ridgewood, NJ
- NPI 1104900778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304640000000",
"number": "1265749964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 LINWOOD AVE",
"address_2": "SUITE 2 SOUTH",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502939",
"telephone_number": "201-857-4751",
"fax_number": "201-857-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 LINWOOD AVE",
"address_2": "SUITE 2 SOUTH",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502939",
"telephone_number": "201-857-4751",
"fax_number": "201-857-4752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMESUR EYE ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-02",
"last_updated": "2011-05-06",
"status": "A",
"authorized_official_last_name": "AMESUR",
"authorized_official_first_name": "KIRAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-857-4751",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA07468300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "065952",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.