Organization Active NPI

Midatlantic Eye Center Inc

  • Ophthalmologic Surgery Clinic/Center
  • Red Bank, NJ
National Provider Identifier
1366414633
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
MIDATLANTIC EYE CENTER INC
Practice address
70 E Front St
Red Bank, NJ 07701-1851
Phone
(732) 741-0858
Fax
(732) 219-0180
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Dr. Walter J Kahn, M.D.NPI 1669452660
Title
President
Phone
(732) 741-0858

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
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

70 E Front St
Red Bank, NJ 07701-1851

Mailing address

70 E Front St
Red Bank, NJ 07701-1851
Phone (732) 741-0858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000118 NJ Part B Supplier - Ambulatory Surgical Center 7416011135 Practice locations: Red Bank, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Midatlantic Eye CenterCCN 31C0001011
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2311582Midatlantic Eye Center70 E Front St, Red Bank, NJ 07701Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Locations

70 E Front St
Ste 2
Red Bank, NJ 07701
Phone (731) 741-0858

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/N6G4uZFC_0VHckv5d67VADXkySFwDJK1/

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1366414633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E FRONT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011851",
            "telephone_number": "732-741-0858",
            "fax_number": "732-219-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E FRONT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011851",
            "telephone_number": "732-741-0858",
            "fax_number": "732-219-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDATLANTIC EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-741-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.