Individual provider Active NPI

Carl P Bontempo, MD

  • Ophthalmology Physician
  • Long Branch, NJ
National Provider Identifier
1386645901
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04615600 Issued in NJ
Practice address
279 3Rd Ave
Ste. 204
Long Branch, NJ 07740-6211
Phone
(732) 291-8362
Fax
(732) 571-9212
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 25MA04615600 NJ
Ophthalmology Physician 207W00000X 25MA04615600 NJ Primary

Addresses

Primary practice location

279 3Rd Ave
Ste. 204
Long Branch, NJ 07740-6211

Mailing address

279 3Rd Ave
Ste. 204
Long Branch, NJ 07740-6211
Phone (732) 291-8362

Other names 1

  • C. Peter Bontempo Other name

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
I20100826000800 NJ Practitioner - Ophthalmology 2163471053 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Eye Physicians, PA Ophthalmology CurrentSince Jan 1, 1989 Accepting new patients

Locations

300 Highway 35
Eatontown, NJ 07724
Phone (732) 219-9220

180 White Rd
Ste 202
Little Silver, NJ 07739
Phone (732) 219-9220

279 3rd Ave
Ste 204
Long Branch, NJ 07740
Phone (732) 222-7373

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": "1559174400000",
    "number": "1386645901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "STE. 204",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406211",
            "telephone_number": "732-291-8362",
            "fax_number": "732-571-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "STE. 204",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406211",
            "telephone_number": "732-291-8362",
            "fax_number": "732-571-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTEMPO",
        "first_name": "CARL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA04615600",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04615600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C. PETER",
            "last_name": "BONTEMPO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.