Individual provider Active NPI

Jacklyn Sara Mahgerefteh, DO

  • Ophthalmology Physician
  • Toms River, NJ
National Provider Identifier
1295294254
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MB11763200 Issued in NJ
Practice address
601 Rte 37 W
Toms River, NJ 08755-8050
Phone
(732) 244-4400
Fax
(732) 505-2171
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MB11763200 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

601 Rte 37 W
Toms River, NJ 08755-8050

Mailing address

601 Rte 37 W
Toms River, NJ 08755-8050
Phone (732) 244-4400

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
I20230626001601 NJ Practitioner - Ophthalmology 5294065587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Eye Institute PAGroup PAC ID 1254389828, 10 clinicians

Practice addresses (Care Compare)

601 Route 37 W
Toms River, NJ 08755-8050
Phone (732) 244-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11763200NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Eye Institute PA Ophthalmology CurrentSince Aug 7, 2023 Accepting new patients

Locations

317 Brick Blvd
Brick, NJ 08723
Phone (732) 255-9500

601 Route 37 W
Toms River, NJ 08755
Phone (732) 244-4400

Interoperability endpoints

  • Direct secure messaging: jmahgerefteh@oei.intellechartdirect.net
  • Direct secure messaging: jmahgerefteh@oei1944.srs-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1295294254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558050",
            "telephone_number": "732-244-4400",
            "fax_number": "732-505-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558050",
            "telephone_number": "732-244-4400",
            "fax_number": "732-505-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHGEREFTEH",
        "first_name": "JACKLYN",
        "middle_name": "SARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB11763200",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.