Campus Eye Group, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07265600 Issued in NJ

Legal business name

CAMPUS EYE GROUP, LLC

Practice address

1700 Whitehorse-Hamilton Square Rd.
Hamilton Square, NJ 08690-3536

Phone

(609) 587-2020

Fax

(609) 588-9545

NPI assigned

Oct 10, 2017

Last updated

Jan 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward B. Di Donato, ODNPI 1578546545

Title

President/Owner

Phone

(609) 587-2020

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 2

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.

• Edward B Didonato, OD

  • Optometrist
  • Hamilton Square, NJ
  • NPI 1578546545
  Authorized official Same address or phone
• Monica Joshi

  • Optometrist
  • Trenton, NJ
  • NPI 1184325318
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1770093395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE-HAMILTON SQUARE RD.",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-2020",
            "fax_number": "609-588-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE-HAMILTON SQUARE RD.",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903536",
            "telephone_number": "609-587-2020",
            "fax_number": "609-588-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS EYE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "DI DONATO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "609-587-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04943100",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05351700",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04570600",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07265600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8330905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie S Bursack, CRNA
• James J Cally, DMD
• Campus Eye Group ASC Inc (Surgicenter Anesthesia Associates)
• Campus Eye Group, LLC
• Campus Eye Group, LLC
• Campus Eye Group, LLC (Anesthesia Associates)
• Robert Caraballo
• Richard Neville Carroll, ED.D.
• Tonigail Castaldi, DMD
• Christopher Neil Cetta, DMD

• Ophthalmology Physician in Hamilton Square, NJ
• Providers in Hamilton Square, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.