Active NPI
Ashwati Agrawal, OD
- Optometrist
- Edison, NJ
National Provider Identifier
1659963007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00703200
- Practice address
- 203 Tyroler Ave
Edison, NJ 08820-3737 - Phone
- (848) 228-6420
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00703200 | NJ | Primary |
Addresses
Primary practice location
203 Tyroler Ave
Edison, NJ 08820-3737
Mailing address
203 Tyroler Ave
Edison, NJ 08820-3737
Phone (848) 228-6420
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Edison | ||
| Other URL | Edison |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210629003354 | NJ | Practitioner - Optometry | 6709287683 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1659963007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 TYROLER AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203737",
"telephone_number": "848-228-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 TYROLER AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203737",
"telephone_number": "848-228-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAWAL",
"first_name": "ASHWATI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00703200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Edison",
"affiliation": "N",
"address_1": "203 Tyroler Ave",
"city": "Edison",
"state": "NJ",
"country_code": "US",
"postal_code": "088203737",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Edison",
"affiliation": "N",
"address_1": "203 Tyroler Ave",
"city": "Edison",
"state": "NJ",
"country_code": "US",
"postal_code": "088203737",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.