NPIMap

Organization Active NPI

Sushma Patel OD, LLC

Doing business as Manasquan Eye Care

  • Optometrist
  • Manasquan, NJ
National Provider Identifier
1306336425
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00647500 Issued in NJ
Legal business name
SUSHMA PATEL OD, LLC
Doing business as
Manasquan Eye Care
Practice address
2516 Highway 35 Ste 104
Manasquan, NJ 08736
Phone
(732) 223-8000
Fax
(732) 223-4010
NPI assigned
May 14, 2018
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Dr. Sushma Patel, ODNPI 1427497841
Title
Optometrist/Owner
Phone
(732) 223-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00647500 NJ Primary

Addresses

Primary practice location

2516 Highway 35 Ste 104
Manasquan, NJ 08736

Mailing address

2516 Highway 35 Ste 104
Manasquan, NJ 08736-1927
Phone (732) 223-8000

Other names 1

  • Manasquan Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180622000438 NJ Part B Supplier - Clinic/Group Practice 0042565608 Receives reassigned benefits from 2 practitioners
Practice locations: Manasquan, NJ

National Provider Directory

National Provider Directory

Locations

2516 Highway 35
Ste 104
Manasquan, NJ 08736
Phone (732) 223-8000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1306336425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35 STE 104",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361927",
            "telephone_number": "732-223-8000",
            "fax_number": "732-223-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35 STE 104",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-223-8000",
            "fax_number": "732-223-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHMA PATEL OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "732-223-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00647500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manasquan Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.