NPIMap

Individual provider Active NPI

Barry J Edison, D.O.

  • Ophthalmology Physician
  • Eatontown, NJ
National Provider Identifier
1447283510
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MB72146 Issued in NJ
Practice address
10 Industrial Way E
Suite 102
Eatontown, NJ 07724-3332
Phone
(732) 542-0300
Fax
(732) 935-0533
NPI assigned
Jul 9, 2006
Last updated
May 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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 MB72146 NJ Primary

Addresses

Primary practice location

10 Industrial Way E
Suite 102
Eatontown, NJ 07724-3332

Mailing address

10 Industrial Way E
Suite 102
Eatontown, NJ 07724-3332
Phone (732) 542-0300

Other identifiers 1

IdentifierTypeStateIssuer
180046261OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000035 NJ Practitioner - Ophthalmology 0840249272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barry J. Edison D.O. P.C.Group PAC ID 3678522091, 4 clinicians

Practice addresses (Care Compare)

10 Industrial Way E
Suite 102
Eatontown, NJ 07724-3332
Phone (732) 201-3993

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.79 of 100Reported as group
Quality
91.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB72146NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barry J. Edison D.O. P.C. Ophthalmology CurrentSince Jan 23, 2003 Accepting new patients
New GW LLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Invision Eyecare Specialists Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients
Prinze Mack, LLC Ophthalmology PastSince Dec 4, 2020 Accepting new patients
Eye Institute of Central New Jersey, PC PastSince Jan 23, 2003 Accepting new patients
Krosney, Berg, Talansky & Turtel, MDS, PA Ophthalmology PastSince Aug 22, 2022 Accepting new patients

Locations

192 Jack Martin Blvd
Unit B4
Brick, NJ 08724
Phone (732) 477-1177

385 State Route 18
Ste H
East Brunswick, NJ 08816
Phone (732) 698-9300

10 Industrial Way E
Ste 102
Eatontown, NJ 07724
Phone (732) 201-3993

10 Industrial Way E
Ste 2
Eatontown, NJ 07724
Phone (732) 542-0300

1 State Route 70
Lakewood, NJ 08701
Phone (732) 905-5600

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1447283510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E",
            "address_2": "SUITE 102",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243332",
            "telephone_number": "732-542-0300",
            "fax_number": "732-935-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E",
            "address_2": "SUITE 102",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243332",
            "telephone_number": "732-542-0300",
            "fax_number": "732-935-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDISON",
        "first_name": "BARRY",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MB72146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180046261",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.