Active NPI
Joel Pakett
- Ophthalmology Physician
- Wayne, NJ
National Provider Identifier
1306200464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA11036200
- Practice address
- 968 Hamburg Tpke
Wayne, NJ 07470-0747 - Phone
- (973) 696-0300
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA11036200 | NJ | Primary |
Addresses
Primary practice location
968 Hamburg Tpke
Wayne, NJ 07470-0747
Mailing address
1 Corporate Dr
Wayne, NJ 07470-3112
Phone (973) 987-3380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200818003033 | NY | Practitioner - Ophthalmology | 8820334048 | |
| I20210521001097 | NJ | Practitioner - Ophthalmology | 8820334048 | Reassigns benefits to 1 organization |
| I20230630000394 | MA | Practitioner - Ophthalmology | 8820334048 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Microsurgical Eye Consultants
Practice addresses (Care Compare)
31 Centennial Dr
Peabody, MA 01960-7901
Phone (978) 531-4400
Hospital & facility affiliations
- Northeast Hospital Corporation
- North Shore Medical Center -
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Centers of America, LLC | Ophthalmology | Current | Accepting new patients |
| Microsurgical Eye Consultants | Current | Accepting new patients | |
| Microsurgical Eye Consultants | Ophthalmology | Past | Accepting new patients |
Locations
31 Centennial Dr
Peabody, MA 01960
Phone (978) 531-4400
1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632
968 Hamburg Tpke
Wayne, NJ 07470
Phone (201) 696-0300
1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380
Interoperability endpoints
- pakett.joel.mse@direct.partners.masshiway.net
- jpakett197014@direct.bilh.masshiway.net
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.
Hospital & facility affiliations 3
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": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1306200464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CORPORATE DR",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703112",
"telephone_number": "973-987-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074700747",
"telephone_number": "973-696-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKETT",
"first_name": "JOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA11036200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.