Organization Active NPI

Eye Associates of Monmouth, LLC

  • Specialist
  • Colts Neck, NJ
National Provider Identifier
1699941666
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA71507 Issued in NJ
Legal business name
EYE ASSOCIATES OF MONMOUTH, LLC
Practice address
410 Route 34 N Ste 218
Colts Neck, NJ 07722-1017
Phone
(732) 431-6688
Fax
(732) 431-2552
NPI assigned
Apr 30, 2008
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. John M Ghobrial, M.D.NPI 1508868290
Title
Ophthalmologist
Phone
(732) 431-6688

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
Specialist 174400000X MA71507 NJ Primary

Addresses

Primary practice location

410 Route 34 N Ste 218
Colts Neck, NJ 07722-1017

Mailing address

410 Route 34 N Ste 218
Colts Neck, NJ 07722-1017
Phone (732) 431-6688

Other identifiers 1

IdentifierTypeStateIssuer
8914001MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090216000422 NJ Part B Supplier - Clinic/Group Practice 7416012059 Receives reassigned benefits from 1 practitioner
Practice locations: Eatontown, NJ; Colts Neck, NJ; Woodbridge, NJ; Jackson, NJ

National Provider Directory

National Provider Directory

Locations

410 State Route 34
Ste 218
Colts Neck, NJ 07722
Phone (732) 431-6688

234 Industrial Way W
#B101
Eatontown, NJ 07724
Phone (732) 440-4900

Practitioners & affiliated clinicians

Practitioners 1

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": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1699941666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ROUTE 34 N STE 218",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221017",
            "telephone_number": "732-431-6688",
            "fax_number": "732-431-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROUTE 34 N STE 218",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221017",
            "telephone_number": "732-431-6688",
            "fax_number": "732-431-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF MONMOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "GHOBRIAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "732-431-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA71507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8914001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.