Organization Active NPI

Thomas M. Obrotka MD

  • Ophthalmology Physician
  • Wayne, NJ
National Provider Identifier
1760406342
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THOMAS M. OBROTKA MD
Practice address
516 Hamburg Tpke
N Jersey Medical Village Ste 10
Wayne, NJ 07470-2062
Phone
(973) 904-0271
Fax
(973) 904-1330
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Dr. Thomas Matthew Obrotka, MD
Title
Physician
Phone
(973) 904-0271

Specialties & licenses 1

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

Addresses

Primary practice location

516 Hamburg Tpke
N Jersey Medical Village Ste 10
Wayne, NJ 07470-2062

Mailing address

516 Hamburg Tpke
N Jersey Medical Village Ste 10
Wayne, NJ 07470-2062
Phone (973) 904-0271

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1760406342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE",
            "address_2": "N JERSEY MEDICAL VILLAGE STE 10",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702062",
            "telephone_number": "973-904-0271",
            "fax_number": "973-904-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE",
            "address_2": "N JERSEY MEDICAL VILLAGE STE 10",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702062",
            "telephone_number": "973-904-0271",
            "fax_number": "973-904-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. OBROTKA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "OBROTKA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-904-0271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.