Jonathan Kristan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA10527800 Issued in NJ

Practice address

279 3Rd Ave Ste 204
Long Branch, NJ 07740

Phone

(732) 222-7373

Fax

(732) 222-7372

NPI assigned

Jun 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Eye Physicians, PAGroup PAC ID 5193774081, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.01 of 100Reported as group

Quality

95.44

Promoting interoperability

100

Improvement activities

40

Cost

44.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atlantic Eye Physicians, PA

  • Specialist
  • Eatontown, NJ
  • NPI 1629023551

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ea Health - New Jersey LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1063186641

  Multi-Specialty

  Medicare reassignment NPD
• Atlantic Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Eatontown, NJ
  • NPI 1407801509
  NPD (past)
• James Marc Schlesinger MD PC

  • Anesthesiology Physician
  • Toms River, NJ
  • NPI 1700265915

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1629450101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 3RD AVE STE 204",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406210",
            "telephone_number": "732-222-7373",
            "fax_number": "732-222-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 3RD AVE STE 204",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "07740",
            "telephone_number": "732-222-7373",
            "fax_number": "732-222-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTAN",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA10527800",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA10527800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Louise Kosmer, DO
• Venkatasriramsandeep Kotnani, MD
• Michelle Kovary, APN
• Thomas A Kowalewski
• David C Kramer, M.D.
• Amanda Dawn Kube, NCPRSS
• Natalya Kugay, MD
• Jonathan Kurian, PHARMD
• Andrew Kwak, MD
• Gloria Labib

• Ophthalmology Physician in Long Branch, NJ
• Providers in Long Branch, 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 Oct 16, 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.