Active NPI
Jennifer Liu
- Optometrist
- Short Hills, NJ
National Provider Identifier
1801580824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00723000
- Practice address
- 1200 Morris Tpke Ste B299
Short Hills, NJ 07078-0420 - Phone
- (862) 684-4565
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00723000 | NJ | Primary |
Addresses
Primary practice location
1200 Morris Tpke Ste B299
Short Hills, NJ 07078-0420
Mailing address
1200 Morris Tpke Ste B299
Short Hills, NJ 07078-0420
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Antares Dr
Unit 429
Woodbridge, NJ 07095-4837
19100 Ridgewood Pkwy
San Antonio, TX 78259-1828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00723000 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles M. Cummins, OD., PA | Optometrist | Current | Accepting new patients |
| Charles M Cummins, OD, PA | Optometrist | Current | Accepting new patients |
Locations
1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575
588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755
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.
-
- Optometrist
- Bloomfield, NJ
- NPI 1598797722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1801580824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MORRIS TPKE STE B299",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070780420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MORRIS TPKE STE B299",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070780420",
"telephone_number": "862-684-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2024-07-26",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00723000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Short Hills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.