Individual provider Active NPI

Ronald Minzter, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Freehold, NJ
National Provider Identifier
1861587420
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
MA05860300 Issued in NJ
Practice address
495 Iron Bridge Road
Suite 2
Freehold, NJ 07728
Phone
(732) 577-5558
Fax
(732) 577-5559
NPI assigned
Oct 3, 2006
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA58603 NJ
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X MA05860300 NJ Primary

Addresses

Primary practice location

495 Iron Bridge Road
Suite 2
Freehold, NJ 07728

Mailing address

495 Iron Bridge Road
Suite 2
Freehold, NJ 07728
Phone (732) 577-5558

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000052 NJ Practitioner - Ophthalmology 0547366221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald Minzter, MD PCGroup PAC ID 3476659152, 2 clinicians

Practice addresses (Care Compare)

495 Iron Bridge Rd
Suite 2
Freehold, NJ 07728-5306
Phone (732) 577-5558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA58603NJMDSpecialist
MA05860300NJMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Minzter, MD PC Specialist CurrentSince Jan 3, 2006 Accepting new patients
Strategic Rehabilitation Services, P.C. Specialist PastSince Sep 2, 2008 Accepting new patients

Locations

495 Iron Bridge Rd
Ste 2
Freehold, NJ 07728
Phone (732) 577-5558

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, 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1861587420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE ROAD",
            "address_2": "SUITE 2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-577-5558",
            "fax_number": "732-577-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE ROAD",
            "address_2": "SUITE 2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-577-5558",
            "fax_number": "732-577-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINZTER",
        "first_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA58603",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NJ",
            "license": "MA05860300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.