Individual provider Active NPI

James Charles Tassini, M.D.

  • Ophthalmology Physician
  • Haddonfield, NJ
National Provider Identifier
1366443939
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25M02595100 Issued in NJ
Practice address
101 Kings Hwy W
Haddonfield, NJ 08033-2126
Phone
(856) 429-3737
Fax
(856) 429-7030
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25M02595100 NJ Primary

Addresses

Primary practice location

101 Kings Hwy W
Haddonfield, NJ 08033-2126

Mailing address

101 Kings Hwy W
Haddonfield, NJ 08033-2126
Phone (856) 429-3737

Other identifiers 1

IdentifierTypeStateIssuer
2897903MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000380 NJ Practitioner - Ophthalmology 6305806381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25M02595100NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Physicians & Surgeons of NJ Ophthalmology CurrentSince Jul 15, 2013 Accepting new patients

Locations

73 S Main St
Medford, NJ 08055
Phone (609) 654-6140

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1366443939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KINGS HWY W",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332126",
            "telephone_number": "856-429-3737",
            "fax_number": "856-429-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KINGS HWY W",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332126",
            "telephone_number": "856-429-3737",
            "fax_number": "856-429-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSINI",
        "first_name": "JAMES",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25M02595100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2897903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.