Organization Active NPI

Retinal & Ophthalmic Consultants, P.C.

  • Ophthalmology Physician
  • Northfield, NJ
National Provider Identifier
1750356481
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINAL & OPHTHALMIC CONSULTANTS, P.C.
Practice address
1500 Tilton Rd
Northfield, NJ 08225-1827
Phone
(609) 646-5200
Fax
(609) 646-9868
NPI assigned
Feb 17, 2006
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Kathy Proietto
Title
Office Manager
Phone
(606) 646-5200

Specialties & licenses 1

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

Addresses

Primary practice location

1500 Tilton Rd
Northfield, NJ 08225-1827

Mailing address

1500 Tilton Rd
Northfield, NJ 08225-1827
Phone (609) 646-5200

Other identifiers 1

IdentifierTypeStateIssuer
7296908MedicaidNJ

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040405001152 PA Part B Supplier - Clinic/Group Practice 2365435591 Receives reassigned benefits from 2 practitioners
Practice locations: Bala Cynwyd, PA; Philadelphia, PA
O20040812000545 NJ Part B Supplier - Clinic/Group Practice 2365435591 Receives reassigned benefits from 8 practitioners
Practice locations: Northfield, NJ; Vineland, NJ; Cape May Court House, NJ

National Provider Directory

National Provider Directory
Tax ID family
Retinal and Ophthalmic Consultants PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 N Main St
Ste 102
Cape May Court House, NJ 08210

211 S Main St
Ste 102
Cape May Court House, NJ 08210
Phone (267) 252-7201

840 Walnut St
Fl 7
Philadelphia, PA 19107
Phone (215) 928-3100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1750356481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251827",
            "telephone_number": "609-646-5200",
            "fax_number": "609-646-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251827",
            "telephone_number": "609-646-5200",
            "fax_number": "609-646-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINAL & OPHTHALMIC CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "PROIETTO",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-646-5200"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7296908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.