Active NPI
Mitchel A Lautenberg, MD
- Ophthalmology Physician
- Toms River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MAO6965100
- Practice address
- 601 Route 37 West
Toms River, NJ 08755-8050 - Phone
- (732) 244-4400
- Fax
- (732) 505-2171
- NPI assigned
- Mar 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MAO6965100 | NJ | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 25MA06965100 | NJ |
Addresses
Primary practice location
601 Route 37 West
Toms River, NJ 08755-8050
Mailing address
601 Route 37 West
Toms River, NJ 08755-8050
Phone (732) 244-4400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8283508 | Medicaid | NJ | |
| 180039086 | Other | NJ | RAILROAD MEDICARE |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 Brick Blvd
Brick, NJ 08723-6031
Phone (723) 255-7444
601 Route 37 W
Toms River, NJ 08755-8050
Phone (732) 244-4400
601 RT 37
Toms River, NJ 08755-8050
615 Lacey Rd
Forked River, NJ 08731-2200
Phone (609) 693-3500
Hospital & facility affiliations
- Community Medical Center
- Ocean Medical Center
- Southern Ocean Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 187 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO6965100 | NJ | MD | Ophthalmology Physician |
| 25MA06965100 | NJ | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Eye Institute PA | Ophthalmology | Current | Accepting new patients |
| Ocean Surgery Center LLC | Past | Accepting new patients | |
| Optical Connection Inc | Past | Accepting new patients |
Locations
317 Brick Blvd
Ste 210
Brick, NJ 08723
Phone (732) 255-7444
601 Route 37 W
Toms River, NJ 08755
Phone (732) 244-4400
Interoperability endpoints
- mlautenberg@oei1944.srs-direct.com
- mlautenberg@oei.intellechartdirect.net
Organizations & group practices 3
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
- Toms River, NJ
- NPI 1457306250
-
- Ambulatory Surgical Clinic/Center
- Toms River, NJ
- NPI 1538254826
-
- Eyewear Supplier
- Whiting, NJ
- NPI 1821361379
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1508833484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ROUTE 37 WEST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087558050",
"telephone_number": "732-244-4400",
"fax_number": "732-505-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ROUTE 37 WEST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087558050",
"telephone_number": "732-244-4400",
"fax_number": "732-505-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUTENBERG",
"first_name": "MITCHEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MAO6965100",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "NJ",
"license": "25MA06965100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8283508",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180039086",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.