Active NPI
Ami Dinesh Patel, O.D.
- Optometrist
- Woodbury, NJ
National Provider Identifier
1861551608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00576300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2689005 | Other | NJ | AETNA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
2910 Route 130
Suite 2
Delran, NJ 08075-2522
Phone (856) 461-0987
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delran Eye Associates LLC | Optometrist | Current | 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.
-
- Optometrist
- Delran, NJ
- NPI 1144712167
-
- Optometrist
- Deptford, NJ
- NPI 1902913577
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.