Active NPI
Carl P Bontempo, MD
- Ophthalmology Physician
- Long Branch, NJ
National Provider Identifier
1386645901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA04615600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Eye Physicians, PA | Ophthalmology | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.