Jersey Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JERSEY EYE ASSOCIATES LLC

Practice address

462 White Horse Pike
Atco, NJ 08004-2442

Phone

(856) 322-2529

NPI assigned

Jul 1, 2020

Last updated

Jul 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rupal P Kaistha, ODNPI 1679692685

Title

Owner Optometristd

Phone

(856) 322-2529

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rupal Patel Kaistha, O.D.

  • Optometrist
  • Cherry Hill, NJ
  • NPI 1679692685
  Medicare reassignment Authorized official
• Arun K Kaistha, O.D.

  • Optometrist
  • Hammonton, NJ
  • NPI 1659460012
  NPD

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1467079897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LAUREL CREEK BLVD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573986",
            "telephone_number": "917-576-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 WHITE HORSE PIKE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042442",
            "telephone_number": "856-322-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "KAISTHA",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER OPTOMETRISTD",
        "authorized_official_telephone_number": "856-322-2529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Hopkins-Brown, MSW LCSW
• Wanda Howe
• Elizabeth Hunter
• Jamie J Iannaco, DPT
• Integrated Foot and Ankle Specialists of NJ LLC
• Wilhemina Tameka Johnson-Wiggins, RN, MSN, APN, C.
• Lisa Toni Jones, L.P.N.
• Rasheeda Jones
• Ivy Kalusa, PT
• Kathryn Stoedter DPM LLC (Comprehensive Foot & Ankle Center of South Jersey)

• Optometrist in Atco, NJ
• Providers in Atco, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.