Individual provider Active NPI

Martin Lee Fox, MD

  • Ophthalmology Physician
  • Iselin, NJ
National Provider Identifier
1831264225
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA04165200 Issued in NJ
Practice address
485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone
(732) 750-0400
Fax
(732) 750-1507
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA04165200 NJ Primary

Addresses

Primary practice location

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009

Mailing address

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

Other identifiers 1

IdentifierTypeStateIssuer
4746708MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000566 NY Practitioner - Ophthalmology 1052500345 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Surgery of New York PC Ophthalmology CurrentSince Nov 28, 2010 Accepting new patients

Locations

20 E 46th St
Ph
New York, NY 10017
Phone (212) 353-0030

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1831264225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S",
            "address_2": "BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400",
            "fax_number": "732-750-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MARTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04165200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4746708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.