Individual provider Active NPI

Joseph M Kaspareck Jr., MD

  • Ophthalmology Physician
  • Somerville, NJ
National Provider Identifier
1285615989
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04084400 Issued in NJ
Practice address
56 Union Ave
Somerville, NJ 08876-2017
Phone
(908) 725-6225
Fax
(908) 218-0802
NPI assigned
Nov 9, 2005
Last updated
Dec 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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 25MA04084400 NJ Primary

Addresses

Primary practice location

56 Union Ave
Somerville, NJ 08876-2017

Mailing address

56 Union Ave
Somerville, NJ 08876-2017
Phone (908) 725-6225

Other identifiers 3

IdentifierTypeStateIssuer
4332108OtherAETNA
P2111070OtherOXFORD
1574302MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101206000153 NJ Practitioner - Ophthalmology 8921140005 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04084400NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Specialists, PA Ophthalmology CurrentSince Jan 25, 2022 Accepting new patients

Locations

390 Amwell Rd
Ste 403
Hillsborough, NJ 08844
Phone (908) 231-1110

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1285615989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 UNION AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762017",
            "telephone_number": "908-725-6225",
            "fax_number": "908-218-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 UNION AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762017",
            "telephone_number": "908-725-6225",
            "fax_number": "908-218-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPARECK",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04084400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4332108",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2111070",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1574302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.