Individual provider Active NPI

Jasvinder Kaur Pabla, O.D.

  • Optometrist
  • Sea Girt, NJ
National Provider Identifier
1346562717
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00642300 Issued in NJ
Practice address
2130 Highway 35
Suite 111
Sea Girt, NJ 08750-1010
Phone
(732) 449-2121
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002308 PA
Optometrist 152W00000X 27OA00642300 NJ Primary

Addresses

Primary practice location

2130 Highway 35
Suite 111
Sea Girt, NJ 08750-1010

Mailing address

2130 Highway 35 Ste 111
Sea Girt, NJ 08750-1010
Phone (732) 925-8038

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121018000637 NJ Practitioner - Optometry 2860642303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2130 Hwy 35
Suite 111
Sea Girt, NJ 08750-1010
Phone (732) 449-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002308PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Studio 2020 Vision Care Optometrist CurrentSince Jul 24, 2014 Accepting new patients

Locations

2130 Highway 35
Ste 111
Sea Girt, NJ 08750
Phone (732) 449-2121

Organizations & group practices 1

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1346562717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 111",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-925-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "SUITE 111",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-449-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLA",
        "first_name": "JASVINDER",
        "middle_name": "KAUR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002308",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00642300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

Verify at the official NPI Registry.