Organization Active NPI

Affiliated Eye Surgeons Northern New Jersey P a

  • Ophthalmology Physician
  • Morristown, NJ
National Provider Identifier
1528029014
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
AFFILIATED EYE SURGEONS NORTHERN NEW JERSEY P A
Practice address
95 Madison Ave
Suite 400
Morristown, NJ 07960
Phone
(973) 984-5005
Fax
(973) 989-5554
NPI assigned
Apr 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Mrs. Nancy Felice Medford
Title
Administrator
Phone
(973) 984-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

95 Madison Ave
Suite 400
Morristown, NJ 07960

Mailing address

95 Madison Ave
Suite 400
Morristown, NJ 07960
Phone (973) 984-5005

Other practice location 1

405 Northfield Ave Ste 206
West Orange, NJ 07052-3023
Phone (973) 736-3322

Other names 1

  • Affiliated Eye Surgeons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040331000607 NJ Part B Supplier - Clinic/Group Practice 7315939394 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: West Orange, NJ; Morristown, NJ; Denville, NJ
O20100930093430 NJ DME Supplier - Physician - Ophthalmology 7315939394 Practice locations: Morristown, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

95 Madison Ave
Ste 400
Morristown, NJ 07960
Phone (973) 984-5005

405 Northfield Ave
Ste 206
West Orange, NJ 07052
Phone (973) 736-3322

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1528029014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-984-5005",
            "fax_number": "973-989-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "address_2": "SUITE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-984-5005",
            "fax_number": "973-989-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Northfield Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070523023",
            "country_code": "US",
            "telephone_number": "973-736-3322",
            "fax_number": "973-736-7317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFILIATED EYE SURGEONS NORTHERN NEW JERSEY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-01",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "MEDFORD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "FELICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-984-5005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Eye Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.