Individual provider Active NPI

Joseph Kristan, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1730610254
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
309327 Issued in NY
Practice address
635 W 165TH St
New York, NY 10032-3724
Phone
(212) 305-9535
NPI assigned
Mar 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 309327 NY Primary

Addresses

Primary practice location

635 W 165TH St
New York, NY 10032-3724

Mailing address

3332 Rochambeau Ave RM 306
Bronx, NY 10467-2836

Other practice location 1

3332 Rochambeau Ave Rm 306
Bronx, NY 10467-2836
Phone (732) 977-7448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221031000084 NJ Practitioner - Ophthalmology 4587065982 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Stony Brook, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Eye Physicians, PAGroup PAC ID 5193774081, 12 clinicians

Practice addresses (Care Compare)

300 Hwy 35
Eatontown, NJ 07724-2216
Phone (732) 222-7373

Merit-based Incentive Payment System (MIPS)

Final score
82.01 of 100Reported as group
Quality
95.44
Promoting interoperability
100
Improvement activities
40
Cost
44.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
309327NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Health - New Jersey LLC CurrentSince Jun 3, 2023 Accepting new patients
Atlantic Surgery Center,LLC CurrentSince May 1, 2024 Accepting new patients
Atlantic Eye Physicians, PA Ophthalmology CurrentSince Aug 22, 2022 Accepting new patients
James Marc Schlesinger MD PC Past Accepting new patients

Locations

300 Highway 35
Ste 200
Eatontown, NJ 07724
Phone (732) 222-7373

300 Highway 35
Ste 300
Eatontown, NJ 07724
Phone (732) 222-7373

300 Highway 35
Ste 250
Eatontown, NJ 07724
Phone (732) 222-7373

300 Highway 35
Eatontown, NJ 07724
Phone (732) 219-9220

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

100 Commons Way
Ste 230
Holmdel, NJ 07733
Phone (732) 222-7373

180 White Rd
Ste 202
Little Silver, NJ 07739
Phone (732) 219-9220

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1963 State Route 34
Ste 101
Wall Township, NJ 07719
Phone (732) 222-7373

Interoperability endpoints

  • Direct secure messaging: joekristan@atlanticeyephysicians.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1730610254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 ROCHAMBEAU AVE RM 306",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323724",
            "telephone_number": "212-305-9535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3332 Rochambeau Ave Rm 306",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672836",
            "country_code": "US",
            "telephone_number": "732-977-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISTAN",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "309327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.