Individual provider Active NPI

Christine Mallari Taruc, OD

  • Optometrist
  • Matawan, NJ
National Provider Identifier
1871153031
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00687300 Issued in NJ
Practice address
935 State Route 34
Matawan, NJ 07747-3283
Phone
(732) 583-9797
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00687300 NJ Primary

Addresses

Primary practice location

935 State Route 34
Matawan, NJ 07747-3283

Mailing address

24 Cedar Knoll Rd
Jackson, NJ 08527-1196
Phone (732) 688-4656

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
I20190719001978 NJ Practitioner - Optometry 5698001238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steve H. Silberberg, O.D., LLCGroup PAC ID 1153458518, 4 clinicians

Practice addresses (Care Compare)

935 Route 34
Suite 1a
Matawan, NJ 07747-3283
Phone (732) 583-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00687300NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve H. Silberberg, O.D., LLC Optometrist CurrentSince Jun 14, 2019 Accepting new patients

Locations

935 State Route 34
Ste 1A
Matawan, NJ 07747
Phone (732) 583-9797

935 State Route 34
Matawan, NJ 07747
Phone (732) 583-7964

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1871153031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CEDAR KNOLL RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271196",
            "telephone_number": "732-688-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 STATE ROUTE 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473283",
            "telephone_number": "732-583-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARUC",
        "first_name": "CHRISTINE",
        "middle_name": "MALLARI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00687300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

Verify at the official NPI Registry.