Individual provider Active NPI

Neal Stuart Braff, O.D.

  • Optometrist
  • Old Bridge, NJ
National Provider Identifier
1376698845
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00417500 Issued in NJ
Practice address
2825 Route18 South
Old Bridge, NJ 08857-0000
Phone
(732) 955-0489
Fax
(732) 679-2185
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4175 NJ
Optometrist 152W00000X 27OA00417500 NJ Primary

Addresses

Primary practice location

2825 Route18 South
Old Bridge, NJ 08857-0000

Mailing address

2825 Route18 South
Old Bridge, NJ 08857-0000
Phone (732) 955-0489

Other identifiers 1

IdentifierTypeStateIssuer
4679806MedicaidNJ

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
I20130425000085 NJ Practitioner - Optometry 2365688033 Practice locations: Old Bridge, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4175NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Howell Eye Center LLC Optometrist Past Accepting new patients

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1376698845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 ROUTE18 SOUTH",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088570000",
            "telephone_number": "732-955-0489",
            "fax_number": "732-679-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 ROUTE18 SOUTH",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088570000",
            "telephone_number": "732-955-0489",
            "fax_number": "732-679-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAFF",
        "first_name": "NEAL",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4175",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00417500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4679806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.