Individual provider Active NPI

Harjit S Athwal, M.D.

  • Ophthalmology Physician
  • Toms River, NJ
National Provider Identifier
1396732491
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA05179600 Issued in NJ
Practice address
14 Mule Rd
Suite 1
Toms River, NJ 08755-5028
Phone
(732) 286-0900
Fax
(732) 244-6063
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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 25MA05179600 NJ Primary

Addresses

Primary practice location

14 Mule Rd
Suite 1
Toms River, NJ 08755-5028

Mailing address

14 Mule Rd
Suite 1
Toms River, NJ 08755-5028
Phone (732) 286-0900

Other identifiers 1

IdentifierTypeStateIssuer
5044405MedicaidNJ

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
I20050415000232 NJ Practitioner - Ophthalmology 6103863659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers School of Dental Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Eye Associates PAGroup PAC ID 9133195126, 17 clinicians

Practice addresses (Care Compare)

530 Lakehurst Rd
Toms River, NJ 08755-8063
Phone (732) 341-4733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
86.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Eye Associates PA Ophthalmology CurrentSince Jan 22, 2021 Accepting new patients
Shore Eye Associates PA Ophthalmology CurrentSince Jan 22, 2021 Accepting new patients
Ocean County Eye Associates LLC Past Accepting new patients
Middletown Eye Care LLC Ophthalmology Past Accepting new patients

Locations

14 Mule Rd
Ste 1
Toms River, NJ 08755
Phone (732) 286-0900

530 Lakehurst Rd
Ste 206
Toms River, NJ 08755
Phone (732) 341-4733

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

550 Route 530
Ste 19
Whiting, NJ 08759
Phone (732) 350-1900

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1396732491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MULE RD",
            "address_2": "SUITE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555028",
            "telephone_number": "732-286-0900",
            "fax_number": "732-244-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MULE RD",
            "address_2": "SUITE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555028",
            "telephone_number": "732-286-0900",
            "fax_number": "732-244-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHWAL",
        "first_name": "HARJIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05179600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5044405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.