Active NPI
Roxbury Eye Center PC
- Specialist
- Succasunna, NJ
National Provider Identifier
1346293735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA05160800
- Legal business name
- ROXBURY EYE CENTER PC
- Practice address
- 66 Sunset Strip
Suite 107
Succasunna, NJ 07876-1345 - Phone
- (973) 584-4451
- Fax
- (973) 584-2099
- NPI assigned
- May 18, 2006
- Last updated
- Jun 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Scott Pinke, MD
- Title
- Owner/President
- Phone
- (973) 584-4451
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA05160800 | NJ | Primary |
Addresses
Primary practice location
66 Sunset Strip
Suite 107
Succasunna, NJ 07876-1345
Mailing address
66 Sunset Strip
Suite 107
Succasunna, NJ 07876-1345
Phone (973) 584-4451
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4705106 | Medicaid | NJ | |
| 5654505 | Medicaid | NJ | |
| 0661007 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 Valley Rd
Ste 106
Mt Arlington, NJ 07856
Phone (973) 584-4451
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.
-
- Ophthalmology Physician
- Belleville, NJ
- NPI 1326033598
-
- Ophthalmology Physician
- New Providence, NJ
- NPI 1780783498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339113600000",
"number": "1346293735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 SUNSET STRIP",
"address_2": "SUITE 107",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761345",
"telephone_number": "973-584-4451",
"fax_number": "973-584-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 SUNSET STRIP",
"address_2": "SUITE 107",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761345",
"telephone_number": "973-584-4451",
"fax_number": "973-584-2099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROXBURY EYE CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2012-06-08",
"status": "A",
"authorized_official_last_name": "PINKE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "973-584-4451",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MA05160800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4705106",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5654505",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0661007",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Succasunna, NJ
- Rollo Family Dentistry
- Thomas Rollo
- Kathleen Ann Ronca, M.S.,CCC/SLP
- Ronetco Supermarkets, Inc (Shoprite Pharmacy of Succasunna)
- Sharon Miller Root, D.P.M.
- Roxbury Family Dentistry PC
- Roxbury Foot and Ankle Center, PA (New Jersey Foot & Ankle Institute)
- Roxbury Imaging LLC
- Roxbury Open MRI and Surgical Center LLC
- Roxbury Open MRI and Surgical Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.