Individual provider Active NPI

Katarzyna I Ciesek, OD

  • Optometrist
  • Hamilton, NJ
National Provider Identifier
1609073998
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00607402 Issued in NJ
Practice address
1700 Whitehorse Hamilton Square Rd
Suite a-1
Hamilton, NJ 08690-3536
Phone
(609) 587-2020
NPI assigned
Jun 29, 2007
Last updated
Sep 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00607402 NJ Primary
Technician/Technologist 156F00000X 27OA00607402 NJ

Addresses

Primary practice location

1700 Whitehorse Hamilton Square Rd
Suite a-1
Hamilton, NJ 08690-3536

Mailing address

1700 Whitehorse Hamilton Square Rd
Hamilton Square, NJ 08690-3536

Other identifiers 5

IdentifierTypeStateIssuer
0162833MedicaidNJ
3501974000OtherNJAMERIHEALTH
1706947OtherNJAETNA HMO
OP2512OtherNJEYEMED
9822097OtherNJAETNA PPO

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
I20080415000641 NJ Practitioner - Optometry 6406934561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 S Ave W
Suite 5
Cranford, NJ 07016-2687
Phone (908) 287-5287

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
67.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group ASC, LLC Current Accepting new patients
Spectacular Eye Care, LLC Optometrist CurrentSince Nov 25, 2022 Accepting new patients
Campus Eye Group, LLC Optometrist CurrentSince Aug 12, 2012 Accepting new patients
Invision Eyecare Specialists Optometrist CurrentSince Mar 11, 2022 Accepting new patients
Priority Eye Care, LLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Campus Eye Group, LLC Optometrist CurrentSince Aug 12, 2012 Accepting new patients

Locations

2 South Ave W
Ste 5
Cranford, NJ 07016
Phone (908) 287-5287

326 W Main St
Freehold, NJ 07728
Phone (732) 561-8551

1 State Route 70
Lakewood, NJ 08701
Phone (732) 905-5600

1700 Whitehorse Hamilton Square Rd
Trenton, NJ 08690
Phone (609) 890-2600

1700 Whitehorse Hamilton Square Rd
Ste A
Trenton, NJ 08690
Phone (609) 588-9495

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

Interoperability endpoints

  • Direct secure messaging: katarzyna.ciesek@uprisedirect.com

Organizations & group practices 6

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1609073998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "SUITE A-1",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESEK",
        "first_name": "KATARZYNA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00607402",
            "primary": true
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NJ",
            "license": "27OA00607402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162833",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "3501974000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1706947",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP2512",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "9822097",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.