Organization Active NPI

Regional Eye Associates

  • Ophthalmology Physician
  • Cherry Hill, NJ
National Provider Identifier
1316016116
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
REGIONAL EYE ASSOCIATES
Practice address
741 Marlton Pike W
Cherry Hill, NJ 08002-3527
Phone
(856) 795-8787
Fax
(856) 795-8688
NPI assigned
Nov 7, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Ralph F Tallman
Title
Administrator
Phone
(856) 795-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

741 Marlton Pike W
Cherry Hill, NJ 08002-3527

Mailing address

741 Marlton Pike W
Cherry Hill, NJ 08002-3527
Phone (856) 795-8787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000414 NJ Part B Supplier - Clinic/Group Practice 6204820939 Receives reassigned benefits from 2 practitioners
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

200 White Horse Pike
Haddon Hgts, NJ 08035
Phone (609) 547-0200

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ki76yt34

Practitioners & affiliated clinicians

Practitioners 4

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1316016116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 MARLTON PIKE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023527",
            "telephone_number": "856-795-8787",
            "fax_number": "856-795-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 MARLTON PIKE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023527",
            "telephone_number": "856-795-8787",
            "fax_number": "856-795-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "TALLMAN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-795-8787"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.