Individual provider Active NPI

Jijo Wang, MD

  • Ophthalmology Physician
  • Holmdel, NJ
National Provider Identifier
1275980807
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA10844100 Issued in NJ
Practice address
733 N Beers St Ste U4
Holmdel, NJ 07733-1513
Phone
(732) 739-0707
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA10844100 NJ Primary

Addresses

Primary practice location

733 N Beers St Ste U4
Holmdel, NJ 07733-1513

Mailing address

16 Beacon CT
Holmdel, NJ 07733-2730
Phone (675) 887-3612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516002961 NY Practitioner - Ophthalmology 1951682574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Troy Cataract & Laser Associates Ophthalmology CurrentSince May 3, 2023 Accepting new patients
Albany Troy Cataract and Laser Associates CurrentSince May 3, 2023 Accepting new patients
Jijo Wang MD Eye Care LLC Ophthalmology Current Accepting new patients

Locations

3 Atrium Dr
Ste 100
Albany, NY 12205
Phone (518) 438-5273

10 Maxwell Dr
Ste 103
Clifton Park, NY 12065
Phone (518) 383-8589

500 State St
Ste 1A
Schenectady, NY 12305
Phone (518) 370-0066

2500 Pond Vw
Ste 101
South Schodack, NY 12033
Phone (518) 477-2391

2222 6th Ave
Troy, NY 12180
Phone (518) 274-3123

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Troy Cataract and Laser Associates 11 clinicians

Practice addresses (Care Compare)

3 Atrium Dr
Suite 100
Albany, NY 12205-1417
Phone 5185124151124

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
86.36
Promoting interoperability
100
Improvement activities
40
Cost
78.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery159

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1275980807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BEACON CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332730",
            "telephone_number": "675-887-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST STE U4",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331513",
            "telephone_number": "732-739-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JIJO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA10844100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.