Metropolitan Eye Research & Surgery Institute P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07286500 Issued in NJ

Legal business name

METROPOLITAN EYE RESEARCH & SURGERY INSTITUTE P.A.

Practice address

540 Bergen Blvd
Palisades Park, NJ 07650-2322

Phone

(201) 461-3970

Fax

(201) 242-9061

NPI assigned

Aug 20, 2011

Organization subpart

No

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

Authorized official

Name

Susan Rhee

Title

Billing Specialist

Phone

(201) 461-3970

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David SC Chu, MD

  • Ophthalmology Physician
  • Palisades Park, NJ
  • NPI 1144260019
  Medicare reassignment NPD

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313798400000",
    "number": "1801176920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502322",
            "telephone_number": "201-461-3970",
            "fax_number": "201-242-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502322",
            "telephone_number": "201-461-3970",
            "fax_number": "201-242-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN EYE RESEARCH & SURGERY INSTITUTE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-20",
        "last_updated": "2011-08-20",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "201-461-3970"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07286500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8591407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Marie Matos, BCBA
• Matthew Lee DDS NJ PC
• Maven Northeast Bergen, LLC
• Mdusa
• Ashley Menchise, M.S. CCC SLP
• Metrovision Inc
• MJ Optometry Group, PC
• Moodlab Psychotherapy
• Hyesim Moon, NURSE PRACTITIONER
• Soojin Victoria Moon, RPH

• Ophthalmology Physician in Palisades Park, NJ
• Providers in Palisades Park, 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 Aug 20, 2011; 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.