Individual provider Active NPI

Mitchel A Lautenberg, MD

  • Ophthalmology Physician
  • Toms River, NJ
National Provider Identifier
1508833484
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MAO6965100 Issued in NJ
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

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8283508MedicaidNJ
180039086OtherNJRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000461 NJ Practitioner - Ophthalmology 0345299574 Reassigns benefits to 1 organization

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
Ocean Eye Institute PAGroup PAC ID 1254389828, 10 clinicians

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 Hospital, Toms River, NJ, CCN 310041
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery187
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAO6965100NJMDOphthalmology Physician
25MA06965100NJMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Eye Institute PA Ophthalmology CurrentSince Sep 3, 1999 Accepting new patients
Ocean Surgery Center LLC PastSince Sep 28, 1998 Accepting new patients
Optical Connection Inc PastSince Apr 1, 2004 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

  • Direct secure messaging: mlautenberg@oei1944.srs-direct.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.