Shinjini Bose, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00675500 Issued in NJ

Practice address

18 N 3Rd Ave
Highland Park, NJ 08904-2408

Phone

(732) 993-1111

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Green Vision CorpGroup PAC ID 0840414736, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbose@bayshore.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fort Green Vision Corp

  • Optician
  • Brooklyn, NY
  • NPI 1912320052
  Medicare reassignment Care Compare group NPD
• Eye Q Optometrist PC

  dba Eye Q Optometrist

  • Optometrist
  • New York, NY
  • NPI 1548410392
  Medicare reassignment NPD
• Parkslope Eye Care, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1386120616
  Medicare reassignment NPD
• Zlatin Optometrist, PC

  dba Eye Q Optometrist

  • Optometrist
  • Scarsdale, NY
  • NPI 1306096169
  Medicare reassignment NPD
• Optical Gallery 20/20

  • Optometrist
  • Brooklyn, NY
  • NPI 1972955409
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1720506199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N 3RD AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042408",
            "telephone_number": "329-931-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N 3RD AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042408",
            "telephone_number": "732-993-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 N Beers St",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331522",
            "country_code": "US",
            "telephone_number": "732-264-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSE",
        "first_name": "SHINJINI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00675500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Caroline Blum, PH.D.
• Neal Howard Blumenkehl, LPC
• Brittany Bolella
• Savithri B Bonala, M D
• Bonnie Gordic PSYD LLC
• Malka Botnick, SLP
• Mia Boxer, LSW
• Bruce Grossman DC PA
• Brunswick Eye Associates
• Brunswick Eye Associates, L.L.C.

• Optometrist in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.

Verify at the official NPI Registry.