Organization Active NPI

Beyond 2020 VTC Professional Corporation

Doing business as KP Eye Clinic PC

  • Clinic/Center
  • Trenton, NJ
National Provider Identifier
1669874699
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
27OA00628300 Issued in NJ
Legal business name
BEYOND 2020 VTC PROFESSIONAL CORPORATION
Doing business as
KP Eye Clinic PC
Practice address
601 Hamilton Ave
Trenton, NJ 08629-1915
Phone
(732) 770-9311
NPI assigned
Sep 22, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Dr. Kirti Patel, O.D.
Title
Optometrist
Phone
(732) 770-9311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 27OA00628300 NJ Primary

Addresses

Primary practice location

601 Hamilton Ave
Trenton, NJ 08629-1915

Mailing address

20 Spruce Meadows Dr
Monroe Township, NJ 08831-3103
Phone (732) 770-9311

Other identifiers 1

IdentifierTypeStateIssuer
0313564MedicaidNJ

Other names 1

  • KP Eye Clinic PC Doing business as

National Provider Directory

National Provider Directory

Locations

601 Hamilton Ave
#C
Trenton, NJ 08629
Phone (609) 599-5000

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1669874699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SPRUCE MEADOWS DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313103",
            "telephone_number": "732-770-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HAMILTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086291915",
            "telephone_number": "732-770-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND 2020 VTC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KIRTI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "732-770-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "27OA00628300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313564",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KP Eye Clinic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.