Organization Active NPI

Vitreous Retina Macula Specialists of NJ

  • Ophthalmology Physician
  • Millburn, NJ
National Provider Identifier
1760788996
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA08558900 Issued in NJ
Legal business name
VITREOUS RETINA MACULA SPECIALISTS OF NJ
Practice address
306 Main Street
2ND Floor
Millburn, NJ 07041-1737
Phone
(973) 467-2020
NPI assigned
Feb 5, 2011
Last updated
Sep 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Dr. Vatsal Doshi, MDNPI 1831394899
Title
Physician
Phone
(917) 573-0084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA08558900 NJ Primary

Addresses

Primary practice location

306 Main Street
2ND Floor
Millburn, NJ 07041-1737

Mailing address

306 Main Street
2ND Floor
Millburn, NJ 07041-1178
Phone (917) 573-0084

National Provider Directory

National Provider Directory

Locations

306 Main St
Ste 2
Millburn, NJ 07041
Phone (973) 467-2020

2942 Route 611
Ste 5
Tannersville, PA 18372
Phone (570) 421-3342

Practitioners & affiliated clinicians

Practitioners 3

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": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1760788996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAIN STREET",
            "address_2": "2ND FLOOR",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411178",
            "telephone_number": "917-573-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN STREET",
            "address_2": "2ND FLOOR",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-467-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREOUS RETINA MACULA SPECIALISTS OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "VATSAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-573-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08558900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.