Individual provider Active NPI

Henna Y Patel

  • Optometrist
  • Middletown, NJ
National Provider Identifier
1639816671
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00716200 Issued in NJ
Practice address
786 Highway 35
Middletown, NJ 07748-3410
Phone
(732) 671-7300
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 27OA00716200 NJ Primary

Addresses

Primary practice location

786 Highway 35
Middletown, NJ 07748-3410

Mailing address

PO Box 208944
Dallas, TX 75320-8944
Phone (636) 200-4393

Other practice location 1

3013 Highway 35
Hazlet, NJ 07730-1526
Phone (732) 739-4000

Other practice location 2

443 Route 34 Ste F
Matawan, NJ 07747-9506
Phone (732) 583-3600

Other practice location 3

178 Highway 35
Eatontown, NJ 07724-1883
Phone (732) 542-3050

Other practice location 4

103 S Hyde Ave
Iselin, NJ 08830-2105
Phone (732) 425-4310

Other practice location 5

35 Monmouth St
Red Bank, NJ 07701-1613
Phone (732) 530-5151

Other practice location 6

359 Brick Blvd
Brick, NJ 08723-6010
Phone (732) 920-1330

Other practice location 7

2204 Highway 35 Ste 9
Sea Girt, NJ 08750-2323
Phone (732) 223-2800

Other practice location 8

1001 Route 70 Unit B1
Manchester, NJ 08759-5804
Phone (732) 657-1400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003000972 NJ Practitioner - Optometry 1759767577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Physicians of Middletown PAGroup PAC ID 8527153410, 13 clinicians

Practice addresses (Care Compare)

786 Hwy 35
Middletown, NJ 07748-3410
Phone (732) 671-7300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00716200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Aug 30, 2022 Accepting new patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Aug 30, 2022 Accepting new patients

Locations

359 Brick Blvd
Brick, NJ 08723
Phone (732) 920-1330

178 Highway 35
Eatontown, NJ 07724
Phone (732) 475-7535

3013 State Route 35
Hazlet, NJ 07730
Phone (732) 739-4000

1001 Route 70
Unit B1
Manchester, NJ 08759
Phone (732) 657-1400

443 State Route 34
Ste F
Matawan, NJ 07747
Phone (732) 583-3600

786 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300

35 Monmouth St
Red Bank, NJ 07701
Phone (732) 530-5151

2204 Highway 35
Ste 9
Sea Girt, NJ 08750
Phone (732) 223-2800

Interoperability endpoints

  • Direct secure messaging: hennapatel@direct.eyecare-partners.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1639816671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208944",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208944",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 HIGHWAY 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483410",
            "telephone_number": "732-671-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3013 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301526",
            "country_code": "US",
            "telephone_number": "732-739-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "443 Route 34 Ste F",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077479506",
            "country_code": "US",
            "telephone_number": "732-583-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241883",
            "country_code": "US",
            "telephone_number": "732-542-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 S Hyde Ave",
            "address_purpose": "LOCATION",
            "city": "Iselin",
            "state": "NJ",
            "postal_code": "088302105",
            "country_code": "US",
            "telephone_number": "732-425-4310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Monmouth St",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011613",
            "country_code": "US",
            "telephone_number": "732-530-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "359 Brick Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087236010",
            "country_code": "US",
            "telephone_number": "732-920-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Highway 35 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Sea Girt",
            "state": "NJ",
            "postal_code": "087502323",
            "country_code": "US",
            "telephone_number": "732-223-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Route 70 Unit B1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NJ",
            "postal_code": "087595804",
            "country_code": "US",
            "telephone_number": "732-657-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HENNA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00716200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.