Active NPI
Paul L Sonenblum, O.D.
- Optometrist
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OA587100
- Practice address
- 500 W Main St
Freehold, NJ 07728-2500 - Phone
- (732) 462-8707
- Fax
- (732) 780-3699
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OA587100 | NJ | Primary |
| Optometrist | 152W00000X | TO126400 | NJ | |
| Optometrist | 152W00000X | OM0012300 | NJ |
Addresses
Primary practice location
500 W Main St
Freehold, NJ 07728-2500
Mailing address
500 W Main St
Freehold, NJ 07728-2500
Phone (732) 462-8707
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 882-8833
455 Route 9
Englishtown, NJ 07726-8274
Phone (732) 591-2200
500 W Main St
Freehold, NJ 07728-2500
Phone (732) 462-8707
515 Brick Blvd
Brick, NJ 08723-6009
Phone (732) 920-3800
628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.52 of 100
- Quality
- 95.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA587100 | NJ | MD | Optometrist |
| OM0012300 | NJ | MD | Optometrist |
| TO126400 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Retinal Consultants LLC | Optometrist | Current | Accepting new patients |
| Associated Retinal Consultants LLC | Optometrist | Current | Accepting new patients |
| Millennium Eye Care, LLC | Current | Accepting new patients | |
| Optometric Physicians of Eatontown LLC | Optometrist | Past | Accepting new patients |
Locations
500 W Main St
Freehold, NJ 07728
Phone (732) 462-8707
2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833
628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300
Interoperability endpoints
- psonenblum@mec1089.srs-direct.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Newark, DE
- NPI 1164578894
NJ, Optometrist
-
- Durable Medical Equipment & Medical Supplies
- Englishtown, NJ
- NPI 1295477404
Optometrist
-
- Ophthalmology Physician
- Freehold, NJ
- NPI 1821170416
-
- Optometrist
- Eatontown, NJ
- NPI 1912917147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391212800000",
"number": "1477532661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282500",
"telephone_number": "732-462-8707",
"fax_number": "732-780-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282500",
"telephone_number": "732-462-8707",
"fax_number": "732-780-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONENBLUM",
"first_name": "PAUL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2014-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OA587100",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "TO126400",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OM0012300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.