Organization Active NPI

Branchburg Eye Physicians Inc.

  • Ophthalmology Physician
  • Branchburg, NJ
National Provider Identifier
1760589980
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA0256960 Issued in NJ
Legal business name
BRANCHBURG EYE PHYSICIANS INC.
Practice address
3461 US Highway 22
Branchburg, NJ 08876-6021
Phone
(908) 526-5424
Fax
(908) 707-8054
NPI assigned
Sep 20, 2006
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Dr. Kenette Sohmer, M.D.NPI 1700840204
Title
President/Owner
Phone
(908) 526-5424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA0256960 NJ Primary

Addresses

Primary practice location

3461 US Highway 22
Branchburg, NJ 08876-6021

Mailing address

3461 US Highway 22
Branchburg, NJ 08876-6021
Phone (908) 526-5424

Other identifiers 1

IdentifierTypeStateIssuer
1907301MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000625 NJ Part B Supplier - Clinic/Group Practice 4082665013 Receives reassigned benefits from 1 practitioner
Practice locations: Branchburg, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Branchburg Eye Physicians Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1760589980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 US HIGHWAY 22",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088766021",
            "telephone_number": "908-526-5424",
            "fax_number": "908-707-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 US HIGHWAY 22",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088766021",
            "telephone_number": "908-526-5424",
            "fax_number": "908-707-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHBURG EYE PHYSICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "SOHMER",
        "authorized_official_first_name": "KENETTE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "908-526-5424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA0256960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.