Individual provider Active NPI

Elina Kosov, O.D.

  • Optometrist
  • Freehold, NJ
National Provider Identifier
1396128278
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00660500 Issued in NJ
Practice address
26 E Main St
Freehold, NJ 07728-2267
Phone
(732) 866-9000
NPI assigned
Jul 9, 2015
Last updated
Jul 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00660500 NJ Primary

Addresses

Primary practice location

26 E Main St
Freehold, NJ 07728-2267

Mailing address

38 Damascus Dr
Marlboro, NJ 07746-1955
Phone (732) 372-5573

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
I20160203002018 NJ Practitioner - Optometry 9032413547 Reassigns benefits to 1 organization
Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Vision Associates LLCGroup PAC ID 1153301940, 3 clinicians

Practice addresses (Care Compare)

337 Applegarth Rd
Monroe Township, NJ 08831-3721
Phone (609) 655-2666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00660500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Vision Associates LLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Monroe Vision Associates LLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients

Locations

337 Applegarth Rd
Monroe Twp, NJ 08831
Phone (609) 655-2411

Organizations & group practices 2

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1396128278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DAMASCUS DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461955",
            "telephone_number": "732-372-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282267",
            "telephone_number": "732-866-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOV",
        "first_name": "ELINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00660500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.