Active NPI
NJ Eye Consultants
- Ophthalmology Physician
- Lakewood, NJ
National Provider Identifier
1477064905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NJ EYE CONSULTANTS
- Practice address
- 101 Prospect St Ste 102
Lakewood, NJ 08701-5003 - Phone
- (908) 309-9862
- NPI assigned
- Oct 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David B Leventer
- Title
- President
- Phone
- (732) 571-3937
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
101 Prospect St Ste 102
Lakewood, NJ 08701-5003
Mailing address
PO Box 118
Oakhurst, NJ 07755-0118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180124001747 | NJ | Part B Supplier - Clinic/Group Practice | 3779842547 |
Receives reassigned benefits from 6 practitioners Practice locations: Lakewood, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550016000000",
"number": "1477064905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 118",
"city": "OAKHURST",
"state": "NJ",
"postal_code": "077550118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROSPECT ST STE 102",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015003",
"telephone_number": "908-309-9862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NJ EYE CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-24",
"last_updated": "2019-02-13",
"status": "A",
"authorized_official_last_name": "LEVENTER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-571-3937"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.