Individual provider Active NPI

Anjali Khullar, O.D.

  • Optometrist
  • Vauxhall, NJ
National Provider Identifier
1659604841
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00645200 Issued in NJ
Practice address
2235 Springfield Ave
Vauxhall, NJ 07088-1100
Phone
(908) 524-1343
NPI assigned
Sep 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00645200 NJ Primary

Addresses

Primary practice location

2235 Springfield Ave
Vauxhall, NJ 07088-1100

Mailing address

2235 Springfield Ave
Vauxhall, NJ 07088-1100
Phone (908) 524-1343

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
I20130529000171 NJ Practitioner - Optometry 0749323533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vauxhall Vision Optometrist CurrentSince Sep 6, 2021 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

2235 Springfield Ave
Vauxhall, NJ 07088
Phone (617) 966-8000

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": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1659604841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 SPRINGFIELD AVE",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881100",
            "telephone_number": "908-524-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 SPRINGFIELD AVE",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881100",
            "telephone_number": "908-524-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHULLAR",
        "first_name": "ANJALI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-07",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00645200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vauxhall, NJ

Sources for this page

Verify at the official NPI Registry.