Individual provider Active NPI

Merin Thomas Abraham, O.D.

  • Optometrist
  • Livingston, NJ
National Provider Identifier
1740755313
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00683100 Issued in NJ
Practice address
200 South Orange Ave
Suite 209
Livingston, NJ 07039
Phone
(973) 322-0100
Fax
(973) 322-0102
NPI assigned
Oct 9, 2018
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00683100 NJ Primary

Addresses

Primary practice location

200 South Orange Ave
Suite 209
Livingston, NJ 07039

Mailing address

200 South Orange Ave
Suite 209
Livingston, NJ 07039
Phone (973) 322-0100

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118003033 NJ Practitioner - Optometry 5395177067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Tracey Optical IncGroup PAC ID 0547522807, 3 clinicians
Wyckoff Optical IncGroup PAC ID 2961764220, 4 clinicians

Practice addresses (Care Compare)

240 Godwin Ave
Midland Park, NJ 07432-1838

240 Godwin Ave
Midland Park, NJ 07432-1890
Phone (201) 447-3121

360 Franklin Ave
Wyckoff, NJ 07481-1909
Phone (201) 560-1000

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
61.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00683100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology NJ LLC CurrentSince Apr 13, 2024 Accepting new patients
Wyckoff Optical, Inc. Optometrist CurrentSince May 1, 2025 Accepting new patients
Matthew J Marano Jr MD LLC CurrentSince Sep 28, 2019 Accepting new patients
Ophthalmology NJ LLC CurrentSince Apr 13, 2024 Accepting new patients
James Tracey Optical, Inc. Optometrist CurrentSince May 1, 2025 Accepting new patients

Locations

5 Franklin Ave
Ste 209
Belleville, NJ 07109
Phone (973) 751-6060

200 S Orange Ave
Ste 209
Livingston, NJ 07039
Phone (973) 322-0100

400 Valley Rd
Ste 106
Mt Arlington, NJ 07856
Phone (973) 584-4451

306 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 877-2580

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

360 Franklin Ave
Wyckoff, NJ 07481
Phone (201) 560-1000

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1740755313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVE",
            "address_2": "SUITE 209",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-322-0100",
            "fax_number": "973-322-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVE",
            "address_2": "SUITE 209",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-322-0100",
            "fax_number": "973-322-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "MERIN",
        "middle_name": "THOMAS",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00683100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.