Individual provider Active NPI

Sonia Parekh Vaidya, OD

  • Optometrist
  • Monmouth Junction, NJ
National Provider Identifier
1366691586
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00547 Issued in RI
Practice address
1 Executive Dr
Suite 201
Monmouth Junction, NJ 08852-2407
Phone
(732) 297-7575
Fax
(732) 297-9493
NPI assigned
Sep 11, 2008
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010153 IL
Optometrist 152W00000X ODTG00547 RI Primary

Addresses

Primary practice location

1 Executive Dr
Suite 201
Monmouth Junction, NJ 08852-2407

Mailing address

45 Jill CT
Monmouth Junction, NJ 08852-2623
Phone (847) 651-6983

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
I20191029001164 NJ Practitioner - Optometry 6507933793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aliari, IncGroup PAC ID 4385021138, 3 clinicians

Practice addresses (Care Compare)

1 Executive Dr
Suite 201
Monmouth Junction, NJ 08852-2446
Phone (732) 297-7575

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duquette Family Eye Care Inc Optometrist Current Accepting new patients
Aliari, Inc. Optometrist CurrentSince Apr 11, 2022 Accepting new patients

Locations

1 Executive Dr
Ste 201
Monmouth Junction, NJ 08852
Phone (732) 297-7575

621 Pound Hill Rd
Ste 104
North Smithfield, RI 02896
Phone (401) 769-6323

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1366691586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 JILL CT",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522623",
            "telephone_number": "847-651-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "address_2": "SUITE 201",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522407",
            "telephone_number": "732-297-7575",
            "fax_number": "732-297-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "SONIA",
        "middle_name": "PAREKH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010153",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

Verify at the official NPI Registry.