Individual provider Active NPI

Revathi Naadimuthu, MD

  • Ophthalmology Physician
  • Freehold, NJ
National Provider Identifier
1295993731
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA08526400 Issued in NJ
Practice address
509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728-2965
Phone
(732) 431-9333
NPI assigned
May 31, 2008
Last updated
Aug 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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 25MA08526400 NJ Primary

Addresses

Primary practice location

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728-2965

Mailing address

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728-2965
Phone (732) 431-9333

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
I20090821000383 NJ Practitioner - Ophthalmology 4789757675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians
New GW LLCGroup PAC ID 3476812561, 6 clinicians
Freehold Ophthalmology LLCGroup PAC ID 9335105691, 12 clinicians

Practice addresses (Care Compare)

104 Market St
Perth Amboy, NJ 08861-4412
Phone (732) 826-5159

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

20 Hospital Dr
Toms River, NJ 08755-6434
Phone (732) 349-7167

202 Jack Martin Blvd
Unit C4
Brick, NJ 08724-7770
Phone (732) 458-5700

385 Route 18
Suite H
East Brunswick, NJ 08816-5703
Phone (732) 698-9300

4 Ethel Rd
Suite 403a
Edison, NJ 08817-2841
Phone (732) 767-1850

509 Stillwells Corner Rd
Freehold, NJ 07728-2965
Phone (732) 431-9333

705 Candlewood CMNS
Unit 705
Howell, NJ 07731-2174
Phone (732) 431-9333

886 Commons Way
BLDG H
Toms River, NJ 08755-6430
Phone (732) 698-9300

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.97 of 100Reported as group
Quality
87.94
Improvement activities
40
Cost
49.32

Merit-based Incentive Payment System (MIPS)

Final score
82.81 of 100Reported as group
Quality
88.7
Improvement activities
40
Cost
57.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08526400NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Cataract and Laser Institute CurrentSince Nov 15, 2024 Accepting new patients
New GW LLC Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Eye Centers of America, LLC Ophthalmology CurrentSince Dec 15, 2025 Accepting new patients
Freehold Ophthalmology, LLC Ophthalmology CurrentSince Jul 27, 2009 Accepting new patients
Santamaria Eye Center P a Ophthalmology Past Accepting new patients

Locations

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

202 Jack Martin Blvd
Unit C4
Brick, NJ 08724
Phone (732) 458-5700

385 State Route 18
Ste H
East Brunswick, NJ 08816
Phone (732) 698-9300

4 Ethel Rd
Ste 403A
Edison, NJ 08817
Phone (732) 767-1850

509 Stillwells Corner Rd
Freehold, NJ 07728
Phone (732) 431-3312

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728
Phone (732) 409-6440

101 Prospect St
Ste 102
Lakewood, NJ 08701
Phone 732367063815

357 US Highway 9
Manalapan, NJ 07726
Phone (732) 641-3364

104 Market St
Perth Amboy, NJ 08861
Phone (732) 826-5159

20 Hospital Dr
Ste 6
Toms River, NJ 08755
Phone (732) 349-7167

886 Commons Way
Toms River, NJ 08755
Phone (732) 341-9696

886 Commons Way
Bldg H
Toms River, NJ 08755
Phone (732) 341-9696

Interoperability endpoints

  • Direct secure messaging: rnaadimuthu@gwd.intellechartdirect.net

Organizations & group practices 5

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.

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": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1295993731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD",
            "address_2": "STE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD",
            "address_2": "STE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAADIMUTHU",
        "first_name": "REVATHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08526400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.