Individual provider Active NPI

Ami Dinesh Patel, O.D.

  • Optometrist
  • Woodbury, NJ
National Provider Identifier
1861551608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00576300 Issued in NJ
Practice address
1750 Deptford Center Rd
Woodbury, NJ 08096-5222
Phone
(856) 848-3162
Fax
(856) 848-5657
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00576300 NJ Primary

Addresses

Primary practice location

1750 Deptford Center Rd
Woodbury, NJ 08096-5222

Mailing address

6 Florabunda LN
Cinnaminson, NJ 08077-4530
Phone (856) 829-1748

Other identifiers 1

IdentifierTypeStateIssuer
2689005OtherNJAETNA

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
I20040226000730 NJ Practitioner - Optometry 2466348354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delran Eye Associates LLCGroup PAC ID 0244583771, 2 clinicians

Practice addresses (Care Compare)

2910 Route 130
Suite 2
Delran, NJ 08075-2522
Phone (856) 461-0987

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delran Eye Associates LLC Optometrist CurrentSince Apr 13, 2025 Accepting new patients

Locations

2910 Route 130
Delran, NJ 08075
Phone (856) 461-0987

2910 Route 130
Ste 2
Delran, NJ 08075
Phone (856) 461-0987

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861551608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FLORABUNDA LN",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080774530",
            "telephone_number": "856-829-1748",
            "fax_number": "856-848-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 DEPTFORD CENTER RD",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965222",
            "telephone_number": "856-848-3162",
            "fax_number": "856-848-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMI",
        "middle_name": "DINESH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00576300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2689005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.