Individual provider Active NPI

Jennifer Marie Krawitz, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1336466481
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
287460-1 Issued in NY
Practice address
1305 York Ave
11TH Floor
New York, NY 10021-5663
Phone
(646) 962-2020
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA09828700 NJ
Ophthalmology Physician 207W00000X 287460-1 NY Primary

Addresses

Primary practice location

1305 York Ave
11TH Floor
New York, NY 10021-5663

Mailing address

9 Sherwood CT
Warren, NJ 07059-6763

Other names 1

  • Dr. Jennifer Marie Koterwas Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606002049 NJ Practitioner - Ophthalmology 2365667680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

10 Plum St
Suite 600
New Brunswick, NJ 08901-2065
Phone (732) 220-1600

Merit-based Incentive Payment System (MIPS)

Final score
99.22 of 100Reported as individual
Quality
98.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
287460-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC CurrentSince Jul 1, 2018 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients
Complete Vision Services Ophthalmology Past Accepting new patients

Locations

1200 Route 22
Ste 1
Bridgewater, NJ 08807
Phone (908) 218-4303

2 Industrial Way W
Eatontown, NJ 07724
Phone (732) 389-2333

98 James St
Ste 209
Edison, NJ 08820
Phone (732) 549-7000

391 Summit Ave
Hackensack, NJ 07601
Phone (201) 342-5191

525 Route 70
Ste B14
Lakewood, NJ 08701
Phone (732) 363-2396

140 Franklin Corner Rd
Lawrenceville, NJ 08648
Phone (609) 896-3655

312 Applegarth Rd
Ste 203
Monroe Township, NJ 08831
Phone (609) 655-8301

10 Plum St
Ste 600
New Brunswick, NJ 08901
Phone (732) 220-1600

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

530 Lakehurst Rd
Ste 305
Toms River, NJ 08755
Phone (732) 797-3883

1000 Galloping Hill Rd
Ste 305
Union, NJ 07083
Phone (908) 458-8330

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.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1336466481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SHERWOOD CT",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 YORK AVE",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215663",
            "telephone_number": "646-962-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWITZ",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09828700",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "287460-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KOTERWAS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.