Individual provider Active NPI

Patricia E Carniglia, OD

  • Corneal and Contact Management Optometrist
  • Red Bank, NJ
National Provider Identifier
1366487662
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TUV004764 Issued in NY
Practice address
152 Broad St Ste 2
Red Bank, NJ 07701-2047
Phone
(732) 747-7725
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X TUV004764 NY
Vision Therapy Optometrist 152WV0400X TUV004764 NY
Corneal and Contact Management Optometrist 152WC0802X TUV004764 NY Primary

Addresses

Primary practice location

152 Broad St Ste 2
Red Bank, NJ 07701-2047

Mailing address

335 Broad St Apt 25
Red Bank, NJ 07701-2137
Phone (212) 689-2333

Other practice location 1

77 Park Ave
Suite 1D
New York, NY 10016-2556
Phone (212) 689-2333

Other practice location 2

1809 Corlies Ave Ste 1
Neptune, NJ 07753-4801
Phone (732) 774-5566

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
I20171004001788 NJ Practitioner - Optometry 7618998295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Del Negro and Senft Eye Associates, P.C.Group PAC ID 1658352448, 7 clinicians

Practice addresses (Care Compare)

1809 Corlies Ave
Suite 1
Neptune, NJ 07753-4989
Phone (732) 774-5566

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV004764NYMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Negro & Senft Eye Associates, P.C. CurrentSince Feb 1, 2018 Accepting new patients
Omni Eye Surgery of New York PC Past Accepting new patients
Del Negro & Senft Eye Associates, P.C. PastSince Feb 1, 2018 Accepting new patients
Eye Centers of America, LLC Past Accepting new patients

Locations

100 Drum Point Rd
Brick, NJ 08723
Phone (732) 774-5566

1809 Corlies Ave
Ste 1
Neptune, NJ 07753
Phone (732) 774-5566

152 Broad St
Ste 2
Red Bank, NJ 07701
Phone (732) 747-7725

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366487662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BROAD ST APT 25",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012137",
            "telephone_number": "212-689-2333",
            "fax_number": "212-689-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BROAD ST STE 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012047",
            "telephone_number": "732-747-7725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Park Ave",
            "address_2": "Suite 1D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162556",
            "country_code": "US",
            "telephone_number": "212-689-2333",
            "fax_number": "212-689-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1809 Corlies Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534801",
            "country_code": "US",
            "telephone_number": "732-774-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNIGLIA",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV004764",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV004764",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV004764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.