Individual provider Active NPI

Robert Brian Johnston

  • Optometrist
  • Old Bridge, NJ
National Provider Identifier
1528150281
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA 05421 Issued in NJ
Practice address
51 Brewster Cir
Old Bridge, NJ 08857-3612
Phone
(732) 918-8075
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA 05421 NJ Primary

Addresses

Primary practice location

51 Brewster Cir
Old Bridge, NJ 08857-3612

Mailing address

490 Tennent Rd
Manalapan, NJ 07726-3412
Phone (732) 786-0525

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080207000337 NJ Practitioner - Optometry 3971686429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael a. McAleese OD PAGroup PAC ID 2860456803, 6 clinicians

Practice addresses (Care Compare)

3261 US Hwy 9
Freehold, NJ 07728-3493
Phone (732) 984-6930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA 05421NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a. McAleese, OD, PA Optometrist CurrentSince Oct 24, 2007 Accepting new patients

Locations

3261 US Highway 9
Freehold, NJ 07728
Phone (732) 984-6930

2380 US Highway 9
Ste C6
Howell, NJ 07731
Phone (732) 984-6930

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, 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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1528150281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263412",
            "telephone_number": "732-786-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BREWSTER CIR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573612",
            "telephone_number": "732-918-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ROBERT",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 05421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.