Individual provider Active NPI

Mona Lisa Nedjar, M.D.

  • Ophthalmology Physician
  • Southampton, PA
National Provider Identifier
1508875980
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD424103 Issued in PA
Practice address
319 2ND Street Pike
Southampton, PA 18966-3812
Phone
(215) 355-4428
Fax
(215) 355-0790
NPI assigned
Aug 5, 2006
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD424103 PA Primary

Addresses

Primary practice location

319 2ND Street Pike
Southampton, PA 18966-3812

Mailing address

319 2ND Street Pike
Southampton, PA 18966-3812
Phone (215) 355-4428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041008000224 PA Practitioner - Ophthalmology 6507825163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Century Eye Care, P.C.Group PAC ID 3173416237, 15 clinicians

Practice addresses (Care Compare)

319 2ND St Pike
Tri County Eye Physicians
Southampton, PA 18966-3812
Phone (215) 355-4428

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216445NYMDRegistered Nurse
MD424103PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Century Eye Care, PC Ophthalmology CurrentSince Dec 1, 2020 Accepting new patients
Tri-Century Eye Care, PC Ophthalmology CurrentSince Dec 1, 2020 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
Marcia Dunn MDPC Ophthalmology PastSince Dec 7, 1998 Accepting new patients

Locations

216 Mill St
Bristol, PA 19007
Phone (215) 781-2020

352 E Butler Ave
New Britain, PA 18901
Phone (215) 230-4700

319 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-4428

10000 Anns Choice Way
Fl 1
Warminster, PA 18974
Phone (215) 355-4428

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mnedjar@tcec.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1508875980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 2ND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663812",
            "telephone_number": "215-355-4428",
            "fax_number": "215-355-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 2ND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663812",
            "telephone_number": "215-355-4428",
            "fax_number": "215-355-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDJAR",
        "first_name": "MONA",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD424103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.