Organization Active NPI

Paul Phillips Eye & Surgery Center PC

  • Ophthalmology Physician
  • Flemington, NJ
National Provider Identifier
1720193733
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PAUL PHILLIPS EYE & SURGERY CENTER PC
Practice address
6B Minneakoning Rd
Flemington, NJ 08822-5760
Phone
(908) 824-7144
Fax
(908) 237-0243
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Mrs. Gloria Schetlick
Title
Office Manager
Phone
(908) 824-7144

Specialties & licenses 1

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

Addresses

Primary practice location

6B Minneakoning Rd
Flemington, NJ 08822-5760

Mailing address

6B Minneakoning Rd
Flemington, NJ 08822-5760
Phone (908) 824-7144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061020000088 NJ Part B Supplier - Clinic/Group Practice 3577569235 Receives reassigned benefits from 12 practitioners
Practice locations: Bridgewater, NJ; Clinton, NJ; Flemington, NJ
O20100930007722 NJ DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 3577569235 Practice locations: Flemington, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Paul Phillips Eye & Surgery Center6B Minneakoning Rd, Flemington, NJ 08822-57609088247144104 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1992

National Provider Directory

National Provider Directory

Locations

1 Monroe St
Bridgewater, NJ 08807
Phone (908) 526-4588

64 Walmart Plz
Uppr
Clinton, NJ 08809

64 Walmart Plz
Clinton, NJ 08809
Phone (908) 735-4100

6B Minneakoning Rd
Flemington, NJ 08822
Phone (908) 824-7144

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1720193733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6B MINNEAKONING RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225760",
            "telephone_number": "908-824-7144",
            "fax_number": "908-237-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6B MINNEAKONING RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225760",
            "telephone_number": "908-824-7144",
            "fax_number": "908-237-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PHILLIPS EYE & SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "SCHETLICK",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-824-7144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.