Individual provider Active NPI

Cristin Devika Subramaniam, M.D.

  • Ophthalmology Physician
  • Princeton, NJ
National Provider Identifier
1295978278
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA09364800 Issued in NJ
Practice address
601 Ewing St
Suite C-15
Princeton, NJ 08540-2757
Phone
(609) 921-2300
Fax
(609) 921-9137
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 25MA09364800 NJ Primary

Addresses

Primary practice location

601 Ewing St
Suite C-15
Princeton, NJ 08540-2757

Mailing address

601 Ewing St
Suite C-15
Princeton, NJ 08540-2757
Phone (609) 921-2300

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
I20131101000426 NJ Practitioner - Ophthalmology 7113152950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parsippany Eyecare Associates PAGroup PAC ID 5193807808, 12 clinicians

Practice addresses (Care Compare)

46 Eagle Rock Ave
East Hanover, NJ 07936-3104
Phone (973) 560-1500

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09364800NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parsippany Eyecare Associates PA Ophthalmology CurrentSince Dec 1, 2020 Accepting new patients
Princeton-Flemington Eye Institute,Inc. Ophthalmology CurrentSince Sep 3, 2013 Accepting new patients
Eyecare 20/20- West Orange PA Ophthalmology PastSince Dec 1, 2020 Accepting new patients

Locations

46 Eagle Rock Ave
East Hanover, NJ 07936
Phone (973) 560-1500

1100 Wescott Dr
Ste 305
Flemington, NJ 08822
Phone (609) 921-2300

131 Madison Ave
Ste 130
Morristown, NJ 07960
Phone (973) 267-1113

601 Ewing St
Ste C15
Princeton, NJ 08540
Phone (609) 921-2300

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

Interoperability endpoints

  • Direct secure messaging: cristin.subramaniam.p12@direct.ocli.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1295978278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "SUITE C-15",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-921-2300",
            "fax_number": "609-921-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST",
            "address_2": "SUITE C-15",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-921-2300",
            "fax_number": "609-921-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAM",
        "first_name": "CRISTIN",
        "middle_name": "DEVIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09364800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.