Berkeley Heights Eye Group, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA06696300 Issued in NJ

Legal business name

BERKELEY HEIGHTS EYE GROUP, PA

Doing business as

Summit Eye Group

Practice address

571 Central Ave Ste 101
New Providence, NJ 07974-1547

Phone

(908) 464-4600

Fax

(908) 464-4737

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Owen Leventhal, MD.NPI 1609875251

Title

President

Phone

(908) 464-4600

Specialties & licenses 1

Addresses

Other names 1

• Summit Eye Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: abargoud@berkeleyheights.intellechartdirect.net

Practitioners 3

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

• Todd Owen Leventhal, M.D.

  • Ophthalmology Physician
  • New Providence, NJ
  • NPI 1609875251
  Medicare reassignment Care Compare group NPD Authorized official
• Albert Bargoud, MD

  • Ophthalmology Physician
  • New Providence, NJ
  • NPI 1063040178
  Medicare reassignment Care Compare group NPD
• Juli Merrill Dean, MD

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1891712352
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1629272232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE STE 101",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "908-464-4600",
            "fax_number": "908-464-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE STE 101",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "908-464-4600",
            "fax_number": "908-464-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY HEIGHTS EYE GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "LEVENTHAL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-464-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06696300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Bearns, MSW
• Sarah Bechay, DO
• Kristen Beck, MD
• Brienna Benaquista, PMHNP
• Berkeley Heights Eye Group, PA
• Robert Paul Beswick, MD, MPH
• Parnika Bhagat, DDS
• Ratul Bhattacharyya
• April Bickoff
• Bluecrest Counseling Center Inc.

• Ophthalmology Physician in New Providence, NJ
• Providers in New Providence, 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 Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.