NPIMap

Organization Active NPI

Ophthalmic Partners of New Jersey, PC

  • Ophthalmology Physician
  • Marlton, NJ
National Provider Identifier
1619940343
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06655300 Issued in NJ
Legal business name
OPHTHALMIC PARTNERS OF NEW JERSEY, PC
Practice address
775 Route 70 East,
Suite F-180 Elmwood Business Park
Marlton, NJ 08053
Phone
(856) 985-7152
Fax
(856) 983-0396
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Julia Lee
Title
Executive Director
Phone
(610) 660-0446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG002793 PA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 25MA06655300 NJ Primary

Addresses

Primary practice location

775 Route 70 East,
Suite F-180 Elmwood Business Park
Marlton, NJ 08053

Mailing address

100 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

Other identifiers 2

IdentifierTypeStateIssuer
3493903MedicaidNJ
5584001MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1619940343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ROUTE 70 EAST,",
            "address_2": "SUITE F-180 ELMWOOD BUSINESS PARK",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-985-7152",
            "fax_number": "856-983-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PARTNERS OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-660-0446"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002793",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06655300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3493903",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5584001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.