Organization Active NPI

Short Hills Ophthalmology LLC

  • Ophthalmology Physician
  • Clifton, NJ
National Provider Identifier
1508812181
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SHORT HILLS OPHTHALMOLOGY LLC
Practice address
777 Passaic Ave Ste 485
Clifton, NJ 07012-1800
Phone
(973) 473-1515
Fax
(973) 473-4811
NPI assigned
May 26, 2006
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Dr. Michael A Farbowitz, M.D.NPI 1740276393
Title
Ophthalmologist
Phone
(973) 379-2544

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 PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

777 Passaic Ave Ste 485
Clifton, NJ 07012-1800

Mailing address

777 Passaic Ave Ste 485
Clifton, NJ 07012-1800
Phone (973) 473-1515

Other practice location 1

551 Millburn Ave
Short Hills, NJ 07078-3330
Phone (973) 379-2544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040212000025 NJ Part B Supplier - Clinic/Group Practice 7719871615 Receives reassigned benefits from 7 practitioners
Practice locations: Clifton, NJ; Short Hills, NJ
O20100930048790 NJ DME Supplier - Physician - OptometristDME Supplier - Optician 7719871615 Practice locations: Clifton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2058603Short Hills Ophthalmology551 Millburn Avenue, Short Hills, NJ 07078Certificate of waiverMay 8, 2027
31D2175714Short Hills Ophthalmology Group, LLC777 Passaic Avenue, Suite 485, Clifton, NJ 07012Certificate of waiverNov 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Short Hills Ophthalmology Group LLC777 Passaic Ave, Clifton, NJ 07012-1800(973) 473-1515 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 5, 2003

National Provider Directory

National Provider Directory

Locations

777 Passaic Ave
Clifton, NJ 07012
Phone (973) 473-1515

777 Passaic Ave
Ste 485
Clifton, NJ 07012
Phone (973) 473-1515

Practitioners & affiliated clinicians

Practitioners 11

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1508812181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 PASSAIC AVE STE 485",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121800",
            "telephone_number": "973-473-1515",
            "fax_number": "973-473-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PASSAIC AVE STE 485",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121800",
            "telephone_number": "973-473-1515",
            "fax_number": "973-473-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Millburn Ave",
            "address_purpose": "LOCATION",
            "city": "Short Hills",
            "state": "NJ",
            "postal_code": "070783330",
            "country_code": "US",
            "telephone_number": "973-379-2544",
            "fax_number": "973-379-1317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORT HILLS OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "FARBOWITZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "973-379-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.