Organization Active NPI

Eastern Surgical Associates

  • Ophthalmology Physician
  • West Caldwell, NJ
National Provider Identifier
1467641175
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA03440300 Issued in NJ
Legal business name
EASTERN SURGICAL ASSOCIATES
Practice address
1099 Bloomfield Ave
West Caldwell, NJ 07006-7129
Phone
(973) 882-0600
Fax
(973) 882-0602
NPI assigned
Oct 18, 2007
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Irving D Strauchler, M.D.NPI 1184630907
Title
President
Phone
(973) 882-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA03440300 NJ Primary

Addresses

Primary practice location

1099 Bloomfield Ave
West Caldwell, NJ 07006-7129

Mailing address

1099 Bloomfield Ave
West Caldwell, NJ 07006-7129
Phone (973) 882-0600

Other identifiers 1

IdentifierTypeStateIssuer
527714OtherNJMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111205000379 NJ Part B Supplier - Clinic/Group Practice 1355469958 Receives reassigned benefits from 1 practitioner
Practice locations: West Caldwell, NJ

National Provider Directory

National Provider Directory

Locations

1099 Bloomfield Ave
West Caldwell, NJ 07006
Phone (973) 439-7000

1099 Bloomfield Ave
Ste 8
West Caldwell, NJ 07006
Phone (973) 882-0600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1467641175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 BLOOMFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067129",
            "telephone_number": "973-882-0600",
            "fax_number": "973-882-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 BLOOMFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067129",
            "telephone_number": "973-882-0600",
            "fax_number": "973-882-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "STRAUCHLER",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-882-0600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA03440300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "527714",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.