Ophthalmic Consultants of New Jersey, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA08228100 Issued in NJ

Legal business name

OPHTHALMIC CONSULTANTS OF NEW JERSEY, P.C.

Practice address

620 Cranbury Rd
Suite 205
East Brunswick, NJ 08816-4098

Phone

(732) 708-3937

Fax

(609) 228-5120

NPI assigned

Oct 17, 2014

Last updated

Feb 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Su, M.D.NPI 1104870427

Title

President

Phone

(732) 708-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: msu@ocnj.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Y Su, MD

  • Ophthalmology Physician
  • East Brunswick, NJ
  • NPI 1104870427
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423267200000",
    "number": "1386048510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "SUITE 205",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164098",
            "telephone_number": "732-708-3937",
            "fax_number": "609-228-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "SUITE 205",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164098",
            "telephone_number": "732-708-3937",
            "fax_number": "609-228-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC CONSULTANTS OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-02-07",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-708-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08228100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.