Individual provider Active NPI

Alexander David Port, M.D.

  • Ophthalmology Physician
  • New Brunswick, NJ
National Provider Identifier
1841601622
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA10781700 Issued in NJ
Practice address
10 Plum St Ste 600
New Brunswick, NJ 08901-2065
Phone
(732) 220-1600
Fax
(732) 220-1603
NPI assigned
May 14, 2014
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 25MA10781700 NJ Primary

Addresses

Primary practice location

10 Plum St Ste 600
New Brunswick, NJ 08901-2065

Mailing address

420 Mountain Ave FL 4
New Providence, NJ 07974-2736
Phone (908) 458-8333

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626000744 NJ Practitioner - Ophthalmology 1254682172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Plum St
Suite 600
New Brunswick, NJ 08901-2065
Phone (732) 220-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
Associated Retinal Consultants LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

1200 Route 22
Ste 1
Bridgewater, NJ 08807
Phone (908) 218-4303

2 Industrial Way W
Eatontown, NJ 07724
Phone (732) 389-2333

98 James St
Ste 209
Edison, NJ 08820
Phone (732) 549-7000

525 Route 70
Ste B14
Lakewood, NJ 08701
Phone (732) 363-2396

140 Franklin Corner Rd
Lawrenceville, NJ 08648
Phone (609) 896-3655

312 Applegarth Rd
Ste 203
Monroe Township, NJ 08831
Phone (609) 655-8301

5 Centre Dr
Ste 1B
Monroe Twp, NJ 08831
Phone (609) 409-2777

10 Plum St
Ste 600
New Brunswick, NJ 08901
Phone (732) 220-1600

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

100 Canal Pointe Blvd
Ste 100
Princeton, NJ 08540
Phone (609) 419-1920

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

530 Lakehurst Rd
Ste 305
Toms River, NJ 08755
Phone (732) 797-3883

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1841601622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333",
            "fax_number": "908-274-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLUM ST STE 600",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012065",
            "telephone_number": "732-220-1600",
            "fax_number": "732-220-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORT",
        "first_name": "ALEXANDER",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA10781700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.