Midatlantic Ophthalmology Group PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MIDATLANTIC OPHTHALMOLOGY GROUP PA

Practice address

70 E Front St
Red Bank, NJ 07701-1851

Phone

(732) 741-0858

Fax

(732) 219-0180

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Eileen Cmielewski

Title

Administrator

Phone

(732) 741-0858

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan D'Emic, OD

  • Optometrist
  • Red Bank, NJ
  • NPI 1043289606
  Medicare reassignment Care Compare group NPD
• Mark A Friedberg, M.D.

  • Ophthalmology Physician
  • Red Bank, NJ
  • NPI 1114999356
  Medicare reassignment Care Compare group NPD
• Nathalie C Chen, O.D., M.S.

  • Optometrist
  • Old Bridge, NJ
  • NPI 1265746697
  Medicare reassignment NPD

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1861472870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E FRONT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011851",
            "telephone_number": "732-741-0858",
            "fax_number": "732-219-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E FRONT ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011851",
            "telephone_number": "732-741-0858",
            "fax_number": "732-219-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDATLANTIC OPHTHALMOLOGY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "CMIELEWSKI",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-741-0858"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4555708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Lyn Michaels
• Carl Louis Michel, RPA-C
• Michele Vandell, P.T. Dba Preferred Care Physical Therapy
• Midatlantic Eye Center Inc
• Midatlantic Neuromonitoring Limited
• Midatlanticeye Ophthalmology
• Middletown Eye Care LLC
• Middletown Medical, LLC
• Middletown Pediatrics, P.a.
• Elizabeth Mikulik, MA, LPC

• Ophthalmology Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.