Individual provider Active NPI

Michael J Veliky, O.D.

  • Optometrist
  • Iselin, NJ
National Provider Identifier
1659359289
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00520900 Issued in NJ
Practice address
485 Route 1 South
BLDG a
Iselin, NJ 08830
Phone
(732) 750-0400
Fax
(732) 750-1507
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00520900 NJ Primary

Addresses

Primary practice location

485 Route 1 South
BLDG a
Iselin, NJ 08830

Mailing address

485 Route 1 South
BLDG a
Iselin, NJ 08830
Phone (732) 750-0400

Other identifiers 1

IdentifierTypeStateIssuer
5287006MedicaidNJ

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
I20050801000207 NJ Practitioner - Optometry 2860480753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians

Practice addresses (Care Compare)

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00520900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Specialists P a CurrentSince May 19, 1998 Accepting new patients
New York Laser Eye LLP Past Accepting new patients

Locations

2200 Route 10
Ste 102
Parsippany, NJ 07054
Phone (973) 538-7400

340 W Passaic St
Rochelle Park, NJ 07662
Phone (201) 368-2444

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

475 Prospect Ave
West Orange, NJ 07052
Phone (973) 325-6716

Interoperability endpoints

  • Direct secure messaging: michael.veliky.p1@direct.omnieyeservices.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1659359289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 SOUTH",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIKY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00520900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5287006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.