Organization Active NPI

Roxbury Eye Center PC

  • Specialist
  • Succasunna, NJ
National Provider Identifier
1346293735
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA05160800 Issued in NJ
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Dr. Robert Scott Pinke, MDNPI 1437155041
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4705106MedicaidNJ
5654505MedicaidNJ
0661007MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070904000407 NJ Part B Supplier - Clinic/Group Practice 3274626452 Receives reassigned benefits from 4 practitioners
Practice locations: Denville, NJ; Mt Arlington, NJ

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.