Individual provider Active NPI

Bethany Fishbein, O.D.

  • Optometrist
  • North Brunswick, NJ
National Provider Identifier
1770513525
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA 5492 Issued in NJ
Practice address
2090 State Route 27
Ste 105
North Brunswick, NJ 08902-1142
Phone
(732) 658-6765
Fax
(732) 568-0041
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA 5492 NJ Primary
Corneal and Contact Management Optometrist 152WC0802X OA 5492 NJ
Low Vision Rehabilitation Optometrist 152WL0500X OA 5492 NJ

Addresses

Primary practice location

2090 State Route 27
Ste 105
North Brunswick, NJ 08902-1142

Mailing address

2090 State Route 27
Ste 105
North Brunswick, NJ 08902-1142
Phone (732) 658-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000825 NJ Practitioner - Optometry 4587712039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA 5492NJMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Milltown Family Vision Optometrist Current Accepting new patients
Somerset Eye Care, LLC Optometrist CurrentSince Dec 7, 2000 Accepting new patients
Metuchen Vision LLC Optometrist Current Accepting new patients
Retina Vitreaus Center Past Accepting new patients

Locations

125 Paterson St
Fl 4
New Brunswick, NJ 08901
Phone (732) 235-6600

2090 State Route 27
Ste 105
North Brunswick, NJ 08902
Phone (732) 265-8676

37 Clyde Rd
Ste 104
Somerset, NJ 08873
Phone (732) 568-9577

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1770513525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 STATE ROUTE 27",
            "address_2": "STE 105",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021142",
            "telephone_number": "732-658-6765",
            "fax_number": "732-568-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 STATE ROUTE 27",
            "address_2": "STE 105",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021142",
            "telephone_number": "732-658-6765",
            "fax_number": "732-568-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBEIN",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 5492",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "OA 5492",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NJ",
            "license": "OA 5492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.