Organization Active NPI

Retina Associates of Northwest New Jersey, P.a.

  • Ophthalmology Physician
  • Cedar Knolls, NJ
National Provider Identifier
1679603492
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA58749 Issued in NJ
Legal business name
RETINA ASSOCIATES OF NORTHWEST NEW JERSEY, P.A.
Practice address
8 Saddle Rd
Suite 201
Cedar Knolls, NJ 07927-1902
Phone
(973) 539-3600
Fax
(973) 539-7576
NPI assigned
Mar 7, 2007
Last updated
Sep 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Dr. Ronald Sachs, M.D.NPI 1336254416
Title
President
Phone
(973) 539-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA58749 NJ Primary

Addresses

Primary practice location

8 Saddle Rd
Suite 201
Cedar Knolls, NJ 07927-1902

Mailing address

8 Saddle Rd
Suite 201
Cedar Knolls, NJ 07927-1902
Phone (973) 539-3600

Other identifiers 1

IdentifierTypeStateIssuer
5459001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121002000085 NJ Part B Supplier - Clinic/Group Practice 6204085582 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar Knolls, NJ; Hackettstown, NJ; Rockaway, NJ; Sparta, NJ

National Provider Directory

National Provider Directory

Locations

8 Saddle Rd
Ste 201
Cedar Knolls, NJ 07927
Phone (973) 539-3600

Interoperability endpoints

  • Direct secure messaging: jarnett@retinanwnj.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1679603492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SADDLE RD",
            "address_2": "SUITE 201",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271902",
            "telephone_number": "973-539-3600",
            "fax_number": "973-539-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SADDLE RD",
            "address_2": "SUITE 201",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271902",
            "telephone_number": "973-539-3600",
            "fax_number": "973-539-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF NORTHWEST NEW JERSEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "SACHS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-539-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA58749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5459001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.