Individual provider Active NPI

Muhammad Shahbakht

  • Optometrist
  • Iselin, NJ
National Provider Identifier
1407303621
Registry record updated Mar 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00669600 Issued in NJ
Practice address
485 US Highway 1 S
Building a
Iselin, NJ 08830-3009
Phone
(732) 750-0400
Fax
(732) 602-0749
NPI assigned
Sep 6, 2016
Last updated
Mar 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00669600 NJ Primary
Optometrist 152W00000X 008519 NY

Addresses

Primary practice location

485 US Highway 1 S
Building a
Iselin, NJ 08830-3009

Mailing address

485 US Highway 1 S
Building a
Iselin, NJ 08830-3009
Phone (732) 750-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170526001007 NY Practitioner - Optometry 2769759547 Reassigns benefits to 1 organization
I20170622001209 NJ Practitioner - Optometry 2769759547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians

Practice addresses (Care Compare)

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00669600NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Specialists P a CurrentSince May 1, 2017 Accepting new patients
Omni Eye Surgery of New York PC CurrentSince May 1, 2017 Accepting new patients

Locations

2200 Route 10
Ste 102
Parsippany, NJ 07054
Phone (973) 538-7400

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

475 Prospect Ave
West Orange, NJ 07052
Phone (973) 325-6716

20 E 46th St
Ph
New York, NY 10017
Phone (212) 353-0030

20 E 46th St
Ph 1
New York, NY 10017
Phone (646) 320-0686

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: muhammad.shahbakhtod.p1@direct.omnieyeservices.nextgenshare.com

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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489881600000",
    "number": "1407303621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 US HIGHWAY 1 S",
            "address_2": "BUILDING A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-602-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 US HIGHWAY 1 S",
            "address_2": "BUILDING A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-602-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAKHT",
        "first_name": "MUHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-06",
        "last_updated": "2017-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00669600",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.