Individual provider Active NPI

Nidha Nathani, O.D

  • Optometrist
  • Edison, NJ
National Provider Identifier
1801439674
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00723800 Issued in NJ
Practice address
55 Parsonage Rd Unit 275
Edison, NJ 08837-5402
Phone
(732) 829-5474
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34442TLG CA
Optometrist 152W00000X 27OA00723800 NJ Primary

Addresses

Primary practice location

55 Parsonage Rd Unit 275
Edison, NJ 08837-5402

Mailing address

80 Calvert Ave W
Edison, NJ 08820-3147
Phone (732) 829-5474

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
I20250906000525 NJ Practitioner - Optometry 8325540503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 Peachtree CT
Suite 103H
Holbrook, NY 11741-4616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34442TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Aug 22, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 22, 2025 Accepting new patients

Organizations & group practices 2

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1801439674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CALVERT AVE W",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203147",
            "telephone_number": "732-829-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARSONAGE RD UNIT 275",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088375402",
            "telephone_number": "732-829-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHANI",
        "first_name": "NIDHA",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34442TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00723800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.