Individual provider Active NPI

Sushma Patel, OD

  • Optometrist
  • Manasquan, NJ
National Provider Identifier
1427497841
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00647500 Issued in NJ
Practice address
2516 Highway 35 Ste 104
Manasquan, NJ 08736
Phone
(732) 223-8000
Fax
(732) 223-4010
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00647500 NJ Primary

Addresses

Primary practice location

2516 Highway 35 Ste 104
Manasquan, NJ 08736

Mailing address

2516 Highway 35 Ste 104
Manasquan, NJ 08736-1927
Phone (732) 223-8000

Other identifiers 1

IdentifierTypeStateIssuer
0450197MedicaidNJ

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
I20150112000174 NJ Practitioner - Optometry 3173847613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sushma Patel OD LLCGroup PAC ID 0042565608, 2 clinicians

Practice addresses (Care Compare)

2516 Hwy 35
Suite 104
Manasquan, NJ 08736-1927
Phone (732) 223-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sushma Patel OD, LLC Optometrist CurrentSince Jul 1, 2018 Accepting new patients

Locations

2516 Highway 35
Ste 104
Manasquan, NJ 08736
Phone (732) 223-8000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1427497841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35 STE 104",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361927",
            "telephone_number": "732-223-8000",
            "fax_number": "732-223-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35 STE 104",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-223-8000",
            "fax_number": "732-223-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUSHMA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00647500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450197",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.