Individual provider Active NPI

Adam Yi Zhao, O.D.

  • Optometrist
  • Hillsborough, NJ
National Provider Identifier
1780016535
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00650000 Issued in NJ
Practice address
390 Amwell Rd
Suite 401
Hillsborough, NJ 08844-1225
Phone
(908) 336-3886
NPI assigned
Aug 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00650000 NJ Primary

Addresses

Primary practice location

390 Amwell Rd
Suite 401
Hillsborough, NJ 08844-1225

Mailing address

390 Amwell Rd
Suite 401
Hillsborough, NJ 08844-1225
Phone (908) 336-3886

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
I20140321000323 NJ Practitioner - Optometry 3072744747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

390 Amwell Rd
Suite 401
Hillsborough, NJ 08844-1247
Phone (908) 336-3886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00650000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Zhao, OD LLC Optometrist CurrentSince Aug 15, 2016 Accepting new patients

Locations

390 Amwell Rd
Ste 401
Hillsborough, NJ 08844
Phone (908) 336-3886

Organizations & group practices 1

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": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1780016535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 401",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-336-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 401",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-336-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "ADAM",
        "middle_name": "YI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-04",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00650000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.