Individual provider Active NPI

Mohammad Zan, OD

  • Optometrist
  • Howell, NJ
National Provider Identifier
1508426891
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00687800 Issued in NJ
Practice address
4733 Hwy 9 Ste 100
Howell, NJ 07731-4020
Phone
(732) 901-4158
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00687800 NJ Primary

Addresses

Primary practice location

4733 Hwy 9 Ste 100
Howell, NJ 07731-4020

Mailing address

4733 US Highway 9 Unit 100
Howell, NJ 07731-4020
Phone (732) 901-4158

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
I20190827002632 NJ Practitioner - Optometry 5698003739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles M Cummins, OD, PAGroup PAC ID 0446246995, 24 clinicians

Practice addresses (Care Compare)

4733 Hwy 9
Suite 100
Howell, NJ 07731-4020
Phone (732) 901-4158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Jul 10, 2019 Accepting new patients
Charles M Cummins, OD, PA Optometrist CurrentSince Jul 10, 2019 Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

1255 Raritan Rd
Unit 740
Clark, NJ 07066
Phone (732) 388-4035

550 Old Post Rd
Edison, NJ 08817
Phone (732) 287-6600

1410 Parkway Ave
Ste H
Ewing, NJ 08628
Phone (609) 771-0088

475 Nassau Park Blvd
Princeton, NJ 08540
Phone (609) 243-8902

120 Route 22
Springfield, NJ 07081
Phone (973) 379-5063

873 Saint George Ave
Woodbridge, NJ 07095
Phone (732) 750-3900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1508426891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 US HIGHWAY 9 UNIT 100",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314020",
            "telephone_number": "732-901-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 HWY 9 STE 100",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314020",
            "telephone_number": "732-901-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAN",
        "first_name": "MOHAMMAD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00687800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.