Active NPI
Janet M Conway, O.D.
- Optometrist
- Fort Dix, NJ
National Provider Identifier
1306817465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00555400
- Practice address
- 5250 New Jersey Ave
Fort Dix, NJ 08640-5017 - Phone
- (609) 562-2627
- NPI assigned
- Jan 27, 2006
- Last updated
- Apr 28, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00555400 | NJ | Primary |
Addresses
Primary practice location
5250 New Jersey Ave
Fort Dix, NJ 08640-5017
Mailing address
1025 Haines Mill Rd
Moorestown, NJ 08057-4006
Phone (732) 977-6368
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130604000400 | NJ | Order and Referring Only - Optometry | 9931138823 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00555400 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1306817465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 HAINES MILL RD",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574006",
"telephone_number": "732-977-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 NEW JERSEY AVE",
"city": "FORT DIX",
"state": "NJ",
"postal_code": "086405017",
"telephone_number": "609-562-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "JANET",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00555400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dix, NJ
- Ronald John Burkholder, D.D.S.
- Michael John Byrnes, D.O.
- Robert Antonio Cabanas, DMD
- Thelma Campbell, NURSE
- Anthony Louis Capone, MSW
- Joseph Nunzio Coyle
- Janis Marie Davidson, PHD, CFNP
- Dentrust Dental, P.a. (Docs Dental Joint Base McGuire Dix Lakehurst)
- Victor M Figueroa, IDMT
- Erwin Hillard Goldrich, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.