Thomas M Obrotka, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA029742 Issued in NJ

Practice address

516 Hamberg TNPK
Ste 10 N Jersey Med VLG
Wayne, NJ 07470

Phone

(973) 904-0271

Fax

(970) 904-1330

NPI assigned

Sep 12, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Eye Care Center, PA

  • Specialist
  • Wayne, NJ
  • NPI 1801969340

  Ophthalmology

  Medicare reassignment NPD
• Paterson Eye & Ear Infirmary

  • Otolaryngology Physician
  • Paterson, NJ
  • NPI 1447280102
  Medicare reassignment
• Thomas M. Obrotka MD

  • Ophthalmology Physician
  • Wayne, NJ
  • NPI 1760406342
  Authorized official Same address or phone

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1649465642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HAMBERG TNPK",
            "address_2": "STE 10 N JERSEY MED VLG",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-904-0271",
            "fax_number": "970-904-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HAMBERG TNPK",
            "address_2": "STE 10 N JERSEY MED VLG",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-904-0271",
            "fax_number": "970-904-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBROTKA",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA029742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy O'Sullivan
• Oakland Spine and Physical Therapy of Wayne, LLC
• OB-GYN Affiliates of North Jersey LLC
• Marci Wolff Ober, LMFT
• Mark Joseph Oberthaler, PA-C
• Ogt Chiropractic Group, PA
• SE Young Oh, APN
• Kelli Ohanlon
• Michael Idowu Ojelade, APN
• Karen Milano Olaya

• Ophthalmology Physician in Wayne, NJ
• Providers in Wayne, 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 Sep 12, 2007; 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.