NPIMap

Organization Active NPI

Northern Ophthalmic Associates

  • Ophthalmology Physician
  • Jenkintown, PA
National Provider Identifier
1780653600
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTHERN OPHTHALMIC ASSOCIATES
Practice address
500 York Rd Ste 102
Jenkintown, PA 19046-2871
Phone
(215) 885-6830
Fax
(215) 885-2433
NPI assigned
Mar 14, 2006
Last updated
Jan 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Dr. Joseph A Pizzano, MDNPI 1154390607
Title
President/ Physician
Phone
(215) 885-6830

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

500 York Rd Ste 102
Jenkintown, PA 19046-2871

Mailing address

500 York Rd Ste 102
Jenkintown, PA 19046-2871
Phone (215) 885-6830

Other identifiers 2

IdentifierTypeStateIssuer
108829OtherPAMEDICARE PROVIDER NUMBER
1159581MedicaidPA

Other names 1

  • Northern Ophthalmic Associates Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040628000154 PA Part B Supplier - Clinic/Group Practice 8628054988 Receives reassigned benefits from 10 practitioners
Practice locations: Jenkintown, PA; Norristown, PA; Philadelphia, PA
O20050906000693 NJ Part B Supplier - Clinic/Group Practice 8628054988 Receives reassigned benefits from 1 practitioner
Practice locations: Willingboro, NJ
O20100930089346 PA DME Supplier - Physician - OphthalmologyDME Supplier - Optician 8628054988 Practice locations: Jenkintown, PA

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Northern Ophthalmic Associates500 York Rd, Jenkintown, PA 19046-2871(215) 885-6830 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 27, 1985

National Provider Directory

National Provider Directory
Tax ID family
Northern Ophthalmic Ass4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1330 Powell St
Ste 503
Norristown, PA 19401
Phone (610) 272-6888

500 York Rd
Rydal, PA 19046
Phone (215) 481-2725

500 York Rd
Ste 102
Rydal, PA 19046
Phone (215) 885-6830

Interoperability endpoints

  • Direct secure messaging: jschneider@northernophthalmic.intellechartdirect.net
  • Direct secure messaging: mpyfer@northernophthalmic.intellechartdirect.net
  • Direct secure messaging: mspyfer@northernophthalmic.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 10

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1780653600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 YORK RD STE 102",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462871",
            "telephone_number": "215-885-6830",
            "fax_number": "215-885-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 YORK RD STE 102",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462871",
            "telephone_number": "215-885-6830",
            "fax_number": "215-885-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OPHTHALMIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-01-09",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "PIZZANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICIAN",
        "authorized_official_telephone_number": "215-885-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "108829",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159581",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Ophthalmic Associates Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.