Individual provider Active NPI

John N. Negrey Jr., M.D.

  • Ophthalmology Physician
  • Havertown, PA
National Provider Identifier
1386649176
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD011003E Issued in PA
Practice address
56 W Eagle Rd
Havertown, PA 19083-1447
Phone
(610) 449-4336
Fax
(610) 446-1735
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD011003E PA Primary

Addresses

Primary practice location

56 W Eagle Rd
Havertown, PA 19083-1447

Mailing address

56 W Eagle Rd
Havertown, PA 19083-1447
Phone (610) 449-4336

Other identifiers 2

IdentifierTypeStateIssuer
181932124OtherPARAILROAD MEDICARE
232075896OtherPATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100603000022 PA Practitioner - Ophthalmology 9436043866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Negrey Eye AssociatesGroup PAC ID 8527952944, 5 clinicians

Practice addresses (Care Compare)

56 W Eagle Rd
Havertown, PA 19083-1447
Phone (610) 446-8080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD011003EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Negrey Eye Associates Ophthalmology CurrentSince Jul 9, 1970 Accepting new patients

Locations

56 W Eagle Rd
Havertown, PA 19083
Phone (610) 446-8080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGICCA
  • Direct secure messaging: john.negrey@nea.eclinicaldirectplus.com

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, 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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1386649176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831447",
            "telephone_number": "610-449-4336",
            "fax_number": "610-446-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831447",
            "telephone_number": "610-449-4336",
            "fax_number": "610-446-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGREY",
        "first_name": "JOHN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD011003E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "181932124",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "232075896",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.