Active NPI
Michael E Hayes, O.D.
- Optometrist
- Matawan, NJ
National Provider Identifier
1619905155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00364700
- Practice address
- 349G Matawan Rd
Matawan, NJ 07747-3928 - Phone
- (732) 583-2805
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00364700 | NJ | Primary |
| Optometrist | 152W00000X | 27OA00364701 | NJ | |
| Optometrist | 152W00000X | 27OA00364702 | NJ | |
| Optometrist | 152W00000X | T3456-1 | NY | |
| Optometrist | 152W00000X | OE5197-T | PA |
Addresses
Primary practice location
349G Matawan Rd
Matawan, NJ 07747-3928
Mailing address
349G Matawan Rd
Matawan, NJ 07747-3928
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7861109 | Medicaid | NJ | |
| 00333582 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041001000600 | NJ | Practitioner - Optometry | 0749259133 | Practice locations: Matawan, NJ; Short Hills, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
351 B Matawan Rd
Matawan, NJ 07747-3923
Phone (732) 583-2050
800 Morris Tpke
Suite 109
Short Hills, NJ 07078-2698
Phone (973) 379-8176
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00364701 | NJ | MD | Optometrist |
| 27OA00364702 | NJ | MD | Optometrist |
| T3456-1 | NY | MD | Optometrist |
| OE5197-T | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cristine J Areola OD | Optometrist | Past | Accepting new patients |
| Innovative Eyewear | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Short Hills, NJ
- NPI 1508626920
-
- Optician
- Short Hills, NJ
- NPI 1992896062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1619905155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349G MATAWAN RD",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349G MATAWAN RD",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473928",
"telephone_number": "732-583-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00364700",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00364701",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00364702",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T3456-1",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE5197-T",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7861109",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00333582",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.