Organization Active NPI

Ophthalmology NJ LLC

  • Ophthalmology Physician
  • Mt Arlington, NJ
National Provider Identifier
1609649698
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY NJ LLC
Practice address
400 Valley Rd Ste 106
Mt Arlington, NJ 07856-2316
Phone
(973) 584-4451
NPI assigned
Nov 1, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Robert PinkeNPI 1437155041
Title
MBR
Phone
(973) 584-4451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 18

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2135088Ophthalmology NJ, LLC400 Valley Road, Mount Arlington, NJ 07856Certificate of waiverAug 14, 2027

Medicare participation

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

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20231205001410 NJ Part B Supplier - Clinic/Group Practice 2668820440 Receives reassigned benefits from 14 practitioners
Practice locations: Denville, NJ; Verona, NJ; Newark, NJ; Mt Arlington, NJ; Livingston, NJ; Belleville, NJ
O20241126000099 NJ DME Supplier - Physician - Ophthalmology 2668820440 Practice locations: Mt. Arlington, NJ

National Provider Directory

National Provider Directory
Tax ID family
Ophthalmology NJ LLC (4 organizations share this tax ID)

Locations

799 Bloomfield Ave
Ste 100
Verona, NJ 07044
Phone (973) 751-6060

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1100X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Ophthalmologic Surgery Clinic/Center 261QS0132X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

NPPES NPI Registry

Primary practice location

400 Valley Rd Ste 106
Mt Arlington, NJ 07856-2316

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161
Phone (908) 894-9857

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2025.

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1609649698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161",
            "telephone_number": "908-894-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VALLEY RD STE 106",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078562316",
            "telephone_number": "973-584-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "PINKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "973-584-4451"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.