NPIMap

Organization Active NPI

Retina Vitreaus Center

Doing business as Associated Retina Consultants LLC

  • Ophthalmology Physician
  • Kenilworth, NJ
National Provider Identifier
1326087156
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA VITREAUS CENTER
Doing business as
Associated Retina Consultants LLC
Practice address
1700 Galloping Hill Rd
Kenilworth, NJ 07033-1303
Phone
(908) 488-8333
Fax
(908) 458-8339
NPI assigned
Jun 6, 2006
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Edward J Ludwig III, FACMPE
Title
Practice Administrator
Phone
(732) 568-1246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1700 Galloping Hill Rd
Kenilworth, NJ 07033-1303

Mailing address

1700 Galloping Hill Rd
Kenilworth, NJ 07033-1303
Phone (908) 488-8333

Other names 1

  • ASSOCIATED RETINA CONSULTANTS LLC Doing business as

National Provider Directory

National Provider Directory

Locations

125 Paterson St
Fl Clin
New Brunswick, NJ 08901
Phone (732) 235-6333

Practitioners & affiliated clinicians

Practitioners 8

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": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1326087156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 GALLOPING HILL RD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331303",
            "telephone_number": "908-488-8333",
            "fax_number": "908-458-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GALLOPING HILL RD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331303",
            "telephone_number": "908-488-8333",
            "fax_number": "908-458-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA VITREAUS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-568-1246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "FACMPE"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATED RETINA CONSULTANTS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenilworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.