Organization Active NPI

Franklin Family Eyecare, PA

  • Optometrist
  • Franklin TWP, NJ
National Provider Identifier
1629382403
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00564200 Issued in NJ
Legal business name
FRANKLIN FAMILY EYECARE, PA
Practice address
454 Elizabeth Avenue
Franklin TWP, NJ 08873
Phone
(732) 319-0132
Fax
(908) 725-4303
NPI assigned
Aug 4, 2010
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dr. Josephine Mbong Ngong-Tawe, O.D.
Title
Optometrist
Phone
(732) 319-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00564200 NJ Primary

Addresses

Primary practice location

454 Elizabeth Avenue
Franklin TWP, NJ 08873

Mailing address

86 Nostrand Rd
Hillsborough, NJ 08844-4290
Phone (732) 319-0132

Other identifiers 2

IdentifierTypeStateIssuer
8503303MedicaidNJ
1912075276OtherNJNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110126000754 NJ Part B Supplier - Clinic/Group Practice 4688853310 Receives reassigned benefits from 2 practitioners
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Locations

454 Elizabeth Ave
Ste 220
Somerset, NJ 08873
Phone (732) 412-7328

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1629382403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 NOSTRAND RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444290",
            "telephone_number": "732-319-0132",
            "fax_number": "908-725-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ELIZABETH AVENUE",
            "city": "FRANKLIN TWP",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-319-0132",
            "fax_number": "908-725-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN FAMILY EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "NGONG-TAWE",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "MBONG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-319-0132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00564200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8503303",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912075276",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.