Individual provider Active NPI

Kinjal S Patel, O.D.

  • Optometrist
  • Little Falls, NJ
National Provider Identifier
1841765112
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00683000 Issued in NJ
Practice address
245 Paterson Ave
Little Falls, NJ 07424-4629
Phone
(973) 785-3277
NPI assigned
Oct 12, 2018
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00683000 NJ Primary

Addresses

Primary practice location

245 Paterson Ave
Little Falls, NJ 07424-4629

Mailing address

52 Collura LN
Clifton, NJ 07012-1662
Phone (551) 200-4468

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
I20181204001799 NJ Practitioner - Optometry 5597009407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Eye Center PAGroup PAC ID 0941295968, 9 clinicians
Anthony J Boni OD and Alicia N Dorman OD/PAGroup PAC ID 7315833829, 7 clinicians

Practice addresses (Care Compare)

1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone 2013847333258

245 Paterson Ave
Little Falls, NJ 07424-4629
Phone (973) 785-3277

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.9

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as group
Quality
83.97
Promoting interoperability
100
Improvement activities
40
Cost
82.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Eye Center, P.a. Optometrist CurrentSince May 1, 2024 Accepting new patients
New Jersey Eye Center, P.a. CurrentSince May 1, 2024 Accepting new patients
Anthony J Boni OD and Alicia N Dorman OD/PA Optometrist CurrentSince Oct 15, 2018 Accepting new patients
NJ Eye and Ear LLC CurrentSince Mar 25, 2019 Accepting new patients
Clifton Eye Care LLC Past Accepting new patients

Locations

1 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-7333

1016 Main Ave
Clifton, NJ 07011
Phone (973) 546-5700

16 Romaine Rd
Mountain Lks, NJ 07046
Phone (973) 335-2020

177 Prospect St
Passaic, NJ 07055
Phone (973) 777-4343

245 Paterson Ave
West Paterson, NJ 07424
Phone (973) 256-3912

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1841765112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 COLLURA LN",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121662",
            "telephone_number": "551-200-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PATERSON AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074244629",
            "telephone_number": "973-785-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJAL",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00683000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

Verify at the official NPI Registry.