Kristia Isabel Mardones, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00723700 Issued in NJ

Practice address

1700 Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3536

Phone

(609) 587-2020

Fax

(410) 546-5005

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Physicians of Monmouth PAGroup PAC ID 2365407681, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/NU2Q25NC

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.

• Ophthalmic Physicians of Monmouth PA

  • Ophthalmology Physician
  • Holmdel, NJ
  • NPI 1619064102
  Medicare reassignment Care Compare group NPD
• Total Eye Care Centers PC

  • Ophthalmology Physician
  • Levittown, PA
  • NPI 1952313280

  NJ, Optometrist

  Medicare reassignment NPD
• Total Eye Care Centers, PC

  • Eyewear Supplier
  • Robbinsville, NJ
  • NPI 1174339907
  NPD

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1346692498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-2020",
            "fax_number": "410-546-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-2020",
            "fax_number": "410-546-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDONES",
        "first_name": "KRISTIA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00723700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel a. Rivas MD PA
• Maimoona Manzar
• Stephanie Marano, MSN,APN,FNP-BC,CMSRN
• Michael Marasca
• William Conrad Marder, PT
• Debra Dawn Marek, MSW, LSW
• Maria Theresa Palomata LLC
• Mariam Maniya Associates PC
• Mariam Maniya Internal Medicine PC
• Diane Marolda, RN, MSN, ANP

• Optometrist in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.