Individual provider Active NPI

Joseph D. Fishkin, M.D.

  • Ophthalmology Physician
  • Emerson, NJ
National Provider Identifier
1407953540
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA07390400 Issued in NJ
Practice address
85 Kinderkamack Rd
Suite 201
Emerson, NJ 07630-1888
Phone
(201) 383-9140
NPI assigned
Sep 20, 2006
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 219026 NY
Ophthalmology Physician 207W00000X 25MA07390400 NJ Primary

Addresses

Primary practice location

85 Kinderkamack Rd
Suite 201
Emerson, NJ 07630-1888

Mailing address

5 Trinity CT
Bergenfield, NJ 07621-4229
Phone (551) 404-5347

Other identifiers 1

IdentifierTypeStateIssuer
02643896MedicaidNY

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
I20050908000963 NJ Practitioner - Ophthalmology 4486647500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

800 Kinderkamack Rd
Suite 303N
Oradell, NJ 07649-1534
Phone (201) 383-9140

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219026NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
Arturi Eye Associates PC Ophthalmology Past Accepting new patients
Boro Medical, P.C. Ophthalmology Past Accepting new patients
Sheldon Rabin, M.D., P.C. Ophthalmology Past Accepting new patients
Boro Medical, P.C. Ophthalmology Past Accepting new patients

Locations

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

85 Kinderkamack Rd
Ste 201
Emerson, NJ 07630
Phone (201) 383-9140

800 Kinderkamack Rd
Ste 303N
Oradell, NJ 07649
Phone (201) 383-9140

1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380

Interoperability endpoints

  • Direct secure messaging: joseph.fishkin.1@3162.direct.athenahealth.com

Organizations & group practices 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1407953540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TRINITY CT",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214229",
            "telephone_number": "551-404-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KINDERKAMACK RD",
            "address_2": "SUITE 201",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301888",
            "telephone_number": "201-383-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHKIN",
        "first_name": "JOSEPH",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "219026",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07390400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02643896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.