Individual provider Active NPI

Edward S Maslansky, O.D.

  • Optometrist
  • Red Bank, NJ
National Provider Identifier
1497832703
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00407901 Issued in NJ
Practice address
2 Apple Farm Rd
Middletown Township
Red Bank, NJ 07701-5094
Phone
(732) 671-7451
Fax
(732) 671-7216
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00407901 NJ Primary

Addresses

Primary practice location

2 Apple Farm Rd
Middletown Township
Red Bank, NJ 07701-5094

Mailing address

2 Apple Farm Rd
Middletown Township
Red Bank, NJ 07701-5094
Phone (732) 671-7451

Other identifiers 3

IdentifierTypeStateIssuer
212589OtherNJMEDICARE PTAN
410007247OtherNJRAILROAD MEDICARE
0694207MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110426000030 NJ Practitioner - Optometry 7911020177 Receives reassigned benefits from 3 practitioners
Practice locations: Kearny, NJ; Red Bank, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Apple Farm Rd
Red Bank, NJ 07701-5094
Phone (732) 671-7451

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practitioners & affiliated clinicians

Practitioners 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1497832703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 APPLE FARM RD",
            "address_2": "MIDDLETOWN TOWNSHIP",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015094",
            "telephone_number": "732-671-7451",
            "fax_number": "732-671-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 APPLE FARM RD",
            "address_2": "MIDDLETOWN TOWNSHIP",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015094",
            "telephone_number": "732-671-7451",
            "fax_number": "732-671-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLANSKY",
        "first_name": "EDWARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00407901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "212589",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410007247",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0694207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.