Prinze Chan Mack, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA08221100 Issued in NJ

Practice address

257 Monmouth Rd BLDG B Ste 1
Oakhurst, NJ 07755

Phone

(732) 835-2020

Fax

(732) 695-3200

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Rutgers New Jersey Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prinze Mack LLCGroup PAC ID 7719039114, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ocean Medical Center Hospital, Brick, NJ, CCN 310052
• Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score

88.35 of 100Reported as individual

Quality

92.76

Improvement activities

40

Cost

70.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmack@mackeye.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prinze Mack, LLC

  • Ophthalmology Physician
  • Oakhurst, NJ
  • NPI 1043450018
  Medicare reassignment Care Compare group NPD Authorized official
• Barry J. Edison D.O. P.C.

  • Ophthalmology Physician
  • Eatontown, NJ
  • NPI 1043236185
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HMH Hospitals Corporation

  • Clinic/Center
  • Neptune, NJ
  • NPI 1053880286

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Neptune, NJ
  • NPI 1790297547
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Neptune City, NJ
  • NPI 1962128496

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1609990613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH RD BLDG B STE 1",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-835-2020",
            "fax_number": "732-695-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH RD BLDG B STE 1",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-835-2020",
            "fax_number": "732-695-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Jack Martin Blvd Unit B4",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247728",
            "country_code": "US",
            "telephone_number": "732-835-2020",
            "fax_number": "732-475-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "PRINZE",
        "middle_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08221100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M. Lin, M.D.
• David A Lopez, MUSCLE THERAPIST
• Jessica Carolina Lopez, APN
• Gwendolyn Lundy
• Nicole Lupo, PA-C
• James Macwilliams, PTA
• Ruel Gonzales Makahilig
• Junsuke Maki, MD
• Farida Abdul Malik, M.D.
• Douglas M Manganelli, M.D.

• Ophthalmology Physician in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.