Individual provider Active NPI

John Michael Ghobrial, M.D.

  • Specialist
  • Colts Neck, NJ
National Provider Identifier
1508868290
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA71507 Issued in NJ
Practice address
410 Route 34
Suite #218
Colts Neck, NJ 07722-2518
Phone
(732) 431-6688
Fax
(732) 431-2552
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA71507 NJ Primary

Addresses

Primary practice location

410 Route 34
Suite #218
Colts Neck, NJ 07722-2518

Mailing address

410 Route 34
Suite #218
Colts Neck, NJ 07722-2518
Phone (732) 431-6688

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
I20040408000129 NJ Practitioner - Ophthalmology 2961495478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

410 State Route 34
Suite 218
Colts Neck, NJ 07722-2519
Phone (732) 431-6688

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

Merit-based Incentive Payment System (MIPS)

Final score
89.68 of 100Reported as individual
Quality
93.92
Improvement activities
40
Cost
73.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA71507NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Monmouth, LLC Specialist CurrentSince May 1, 2008 Accepting new patients

Locations

410 State Route 34
Ste 218
Colts Neck, NJ 07722
Phone (732) 431-6688

670 US Highway 1 N
Iselin, NJ 08830
Phone (732) 636-1400

Interoperability endpoints

  • Direct secure messaging: john.ghobrial@donaldamacdonald.chartmakerdirect.com

Organizations & group practices 1

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 2

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1508868290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ROUTE 34",
            "address_2": "SUITE #218",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222518",
            "telephone_number": "732-431-6688",
            "fax_number": "732-431-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROUTE 34",
            "address_2": "SUITE #218",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222518",
            "telephone_number": "732-431-6688",
            "fax_number": "732-431-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBRIAL",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA71507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.