Active NPI
Sunny Mukul Raithatha
- Optometrist
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009437
- Practice address
- 461 Central Ave
Jersey City, NJ 07307-2740 - Phone
- (201) 420-0101
- NPI assigned
- Aug 29, 2021
- Last updated
- Aug 29, 2021
- Sex
- Male
- 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 | 009437 | NY | Primary |
Addresses
Primary practice location
461 Central Ave
Jersey City, NJ 07307-2740
Mailing address
59 Magnolia Ave
Jersey City, NJ 07306-1813
Phone (201) 724-2227
Other names 1
- Dr. Sunny Rai
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
461 Central Ave
Suite a
Jersey City, NJ 07307-2740
Phone (201) 420-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Vision LLC | Optometrist | Current | Accepting new patients |
| Metros Eye Care Optometry, P.C. | Optometrist | Current | Accepting new patients |
| Vision World Prof Corp | Optometrist | Current | Accepting new patients |
| Optical World of Elizabeth LLC | Optometrist | Past | Accepting new patients |
Locations
206 Broad St
Elizabeth, NJ 07201
Phone (908) 629-0011
461 Central Ave
Jersey City, NJ 07307
Phone (201) 420-0101
461 Central Ave
Ste A
Jersey City, NJ 07307
Phone (201) 420-0101
2274 3rd Ave
New York, NY 10035
Phone (212) 722-4453
Organizations & group practices 5
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.
-
- Optometrist
- Jersey City, NJ
- NPI 1295038552
-
- Optometrist
- Jersey City, NJ
- NPI 1801702329
-
- Optometrist
- Elizabeth, NJ
- NPI 1366455032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630195200000",
"number": "1679240329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 MAGNOLIA AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061813",
"telephone_number": "201-724-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072740",
"telephone_number": "201-420-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAITHATHA",
"first_name": "SUNNY",
"middle_name": "MUKUL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-29",
"last_updated": "2021-08-29",
"certification_date": "2021-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUNNY",
"last_name": "RAI",
"prefix": "DR.",
"credential": "O.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.
- 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.