Individual provider Active NPI

Rhonda P Ravitz, O.D.

  • Optometrist
  • Freehold, NJ
National Provider Identifier
1508899675
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005273 Issued in NJ
Practice address
509 Stillwells Corner
Suite E5
Freehold, NJ 07728-2965
Phone
(732) 431-9333
Fax
(732) 431-3312
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005273 NJ Primary

Addresses

Primary practice location

509 Stillwells Corner
Suite E5
Freehold, NJ 07728-2965

Mailing address

509 Stillwells Corner Rd
E-5
Freehold, NJ 07728-2965
Phone (732) 431-9333

Other names 1

  • Rhonda P Ravitz-Friedberg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117001139 NJ Practitioner - Optometry 1052335056 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005273NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Freehold Ophthalmology, LLC CurrentSince Nov 1, 2005 Accepting new patients
Senior Eye Care PC Optometrist Current Accepting new patients
Eye Centers of America, LLC Past Accepting new patients
Barry J. Edison D.O. P.C. Optometrist PastSince Jan 23, 2003 Accepting new patients

Locations

509 Stillwells Corner Rd
#E5
Freehold, NJ 07728

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728
Phone (732) 409-6440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1508899675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD",
            "address_2": "E-5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333",
            "fax_number": "732-431-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER",
            "address_2": "SUITE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-431-9333",
            "fax_number": "732-431-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVITZ",
        "first_name": "RHONDA",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "005273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "RAVITZ-FRIEDBERG",
            "middle_name": "P",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.