Pediatric Eyecare of Northern Jersey, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA08681500 Issued in NJ

Legal business name

PEDIATRIC EYECARE OF NORTHERN JERSEY, P.C.

Practice address

401A S Van Brunt St
Ste. 200
Englewood, NJ 07631-4600

Phone

(201) 541-6806

Fax

(201) 541-6807

NPI assigned

Oct 12, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Sunny Song

Title

Office Manager

Phone

(201) 541-6806

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Hoon Jee, M.D.

  • Ophthalmology Physician
  • Englewood, NJ
  • NPI 1396807905
  Medicare reassignment NPD

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1275818197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401A S VAN BRUNT ST",
            "address_2": "STE. 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-541-6806",
            "fax_number": "201-541-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401A S VAN BRUNT ST",
            "address_2": "STE. 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-541-6806",
            "fax_number": "201-541-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EYECARE OF NORTHERN JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-541-6806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08681500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Patrusky, MD
• Pattner & Grodstein MD PA
• Austin M Pattner, MD
• Theophanis A Pavlou, MD
• Laura Lynn Pawlicky, PA-C
• Pediatric Urology Associates of New Jersey, PC
• Ornit Peleg
• Pelvic Rehabilitation Medicine, PC
• Wen-Chiao Peng, NP
• Nicholas Peppes, MS PT

• Specialist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.