NPIMap

Organization Active NPI

Ophthalmic Consultants of Somerset,Eye MDS,P.a.

  • Ophthalmology Physician
  • Bound Brook, NJ
National Provider Identifier
1700968468
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMIC CONSULTANTS OF SOMERSET,EYE MDS,P.A.
Practice address
515 Church Street
Suite 4
Bound Brook, NJ 08805-1743
Phone
(732) 356-7283
Fax
(732) 356-0432
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Dr. Larry David Weisfeld, MD
Title
President
Phone
(732) 356-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

515 Church Street
Suite 4
Bound Brook, NJ 08805-1743

Mailing address

515 Church Street
Suite 4
Bound Brook, NJ 08805-1743
Phone (732) 356-7283

Other identifiers 2

IdentifierTypeStateIssuer
0278301MedicaidNJ
0421707MedicaidNJ

Other names 1

  • Daniel L.Wachtel,M.D. and Larry D.Weisfeld,M.D.,P.A. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1700968468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CHURCH STREET",
            "address_2": "SUITE 4",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051743",
            "telephone_number": "732-356-7283",
            "fax_number": "732-356-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CHURCH STREET",
            "address_2": "SUITE 4",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051743",
            "telephone_number": "732-356-7283",
            "fax_number": "732-356-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC CONSULTANTS OF SOMERSET,EYE MDS,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "WEISFELD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-356-7283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278301",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel L.Wachtel,M.D. and Larry D.Weisfeld,M.D.,P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bound Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.