Organization Active NPI

Hathaway Eyecare, LLC

  • Ophthalmology Physician
  • Somerset, NJ
National Provider Identifier
1518377688
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA06237200 Issued in NJ
Legal business name
HATHAWAY EYECARE, LLC
Practice address
49 Veronica Ave
Suite 204
Somerset, NJ 08873-6802
Phone
(732) 565-1500
Fax
(732) 565-1501
NPI assigned
Apr 29, 2014
Last updated
Apr 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Dr. Elaine G Hathaway, M.D.
Title
Owner
Phone
(732) 565-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA06237200 NJ Primary

Addresses

Primary practice location

49 Veronica Ave
Suite 204
Somerset, NJ 08873-6802

Mailing address

PO Box 7074
Monroe Township, NJ 08831-9998
Phone (732) 565-1500

Other identifiers 1

IdentifierTypeStateIssuer
106627L5HOtherMEDICARE ID - TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1518377688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7074",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088319998",
            "telephone_number": "732-565-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VERONICA AVE",
            "address_2": "SUITE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736802",
            "telephone_number": "732-565-1500",
            "fax_number": "732-565-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATHAWAY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-565-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA06237200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "106627L5H",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.