Organization Active NPI

Ehg NJ Service LLC

  • Optometrist
  • Springfield, NJ
National Provider Identifier
1285222877
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EHG NJ SERVICE LLC
Practice address
275 Route 22 East
Springfield, NJ 07081-3554
Phone
(321) 537-9979
NPI assigned
Jan 8, 2021
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Edward Santos
Title
Coo
Phone
(973) 376-7900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

275 Route 22 East
Springfield, NJ 07081-3554

Mailing address

275 Route 22 East
Springfield, NJ 07081-3554
Phone (973) 376-7900

Other practice location 1

326 Highway 18
East Brunswick, NJ 08816-2109
Phone (732) 238-9200

Other practice location 2

360 Route 46
Totowa, NJ 07512-1841
Phone (973) 785-0900

Other practice location 3

329 US-202
Bridgewater, NJ 08807
Phone (908) 685-1500

Other practice location 4

670 US Highway 1 N
Iselin, NJ 08830-2629
Phone (732) 750-0300

Other practice location 5

255 Highway 35
Eatontown, NJ 07724-2169
Phone (732) 542-8888

Other practice location 6

1278 Hooper Ave
Toms River, NJ 08753-3343
Phone (732) 505-0533

Other practice location 7

341 E Rte 4
Paramus, NJ 07652-5104
Phone (201) 489-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210319000395 NJ Part B Supplier - Clinic/Group Practice 9335556315 Receives reassigned benefits from 20 practitioners
Practice locations: Iselin, NJ; Totowa, NJ; Toms River, NJ; Springfield, NJ; Paramus, NJ; Eatontown, NJ; East Brunswick, NJ; Metuchen, NJ…

National Provider Directory

National Provider Directory

Locations

255 Highway 35
Eatontown, NJ 07724
Phone (732) 389-6512

179 US Highway 1
Metuchen, NJ 08840

1278 Hooper Ave
#8
Toms River, NJ 08753

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1285222877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 ROUTE 22 EAST",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813554",
            "telephone_number": "973-376-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 22 EAST",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813554",
            "telephone_number": "321-537-9979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Highway 18",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088162109",
            "country_code": "US",
            "telephone_number": "732-238-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Route 46",
            "address_purpose": "LOCATION",
            "city": "Totowa",
            "state": "NJ",
            "postal_code": "075121841",
            "country_code": "US",
            "telephone_number": "973-785-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 US-202",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "08807",
            "country_code": "US",
            "telephone_number": "908-685-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 US Highway 1 N",
            "address_purpose": "LOCATION",
            "city": "Iselin",
            "state": "NJ",
            "postal_code": "088302629",
            "country_code": "US",
            "telephone_number": "732-750-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077242169",
            "country_code": "US",
            "telephone_number": "732-542-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1278 Hooper Ave",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087533343",
            "country_code": "US",
            "telephone_number": "732-505-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 E Rte 4",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076525104",
            "country_code": "US",
            "telephone_number": "201-489-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EHG NJ SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "973-376-7900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.