Individual provider Active NPI

Molly Lenny Golz

  • Optometrist
  • Clifton, NJ
National Provider Identifier
1841786696
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00680400 Issued in NJ
Practice address
777 Passaic Ave Ste 485
Clifton, NJ 07012-1800
Phone
(973) 473-1515
Fax
(973) 473-4811
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00680400 NJ Primary

Addresses

Primary practice location

777 Passaic Ave Ste 485
Clifton, NJ 07012-1800

Mailing address

777 Passaic Ave Ste 485
Clifton, NJ 07012-1800

Other practice location 1

501 route 17 south
Paramus, NJ 07652
Phone (201) 265-9400

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
I20181017001922 NJ Practitioner - Optometry 1052663168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Short Hills Ophthalmology LLCGroup PAC ID 7719871615, 6 clinicians

Practice addresses (Care Compare)

777 Passaic Ave
Suite 485
Clifton, NJ 07012-1800
Phone (973) 473-1515

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
89.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00680400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Short Hills Ophthalmology LLC Optometrist CurrentSince Mar 11, 2021 Accepting new patients

Locations

777 Passaic Ave
Ste 485
Clifton, NJ 07012
Phone (973) 473-1515

777 Passaic Ave
Clifton, NJ 07012
Phone (973) 473-1515

551 Millburn Ave
Short Hills, NJ 07078
Phone (973) 379-2544

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1841786696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 PASSAIC AVE STE 485",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PASSAIC AVE STE 485",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121800",
            "telephone_number": "973-473-1515",
            "fax_number": "973-473-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 route 17 south",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "07652",
            "country_code": "US",
            "telephone_number": "201-265-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLZ",
        "first_name": "MOLLY",
        "middle_name": "LENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "00680400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.