Individual provider Active NPI

Darmakusuma Ie, M.D.

  • Ophthalmology Physician
  • Lawrenceville, NJ
National Provider Identifier
1881690956
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA05957000 Issued in NJ
Practice address
4 Princess Rd
Ste 101
Lawrenceville, NJ 08648-2322
Phone
(609) 896-1414
Fax
(609) 896-2982
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA05957000 NJ Primary
Ophthalmology Physician 207W00000X MD049688-L PA
Ophthalmology Physician 207W00000X G073259 CA
Ophthalmology Physician 207W00000X 61304 FL
Ophthalmology Physician 207W00000X D43059 MD
Ophthalmology Physician 207W00000X 178644 NY

Addresses

Primary practice location

4 Princess Rd
Ste 101
Lawrenceville, NJ 08648-2322

Mailing address

4 Princess Rd
Ste 101
Lawrenceville, NJ 08648-2322
Phone (609) 896-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110407000796 NJ Practitioner - Ophthalmology 1557330156 Reassigns benefits to 1 organization
I20110407000860 PA Practitioner - Ophthalmology 1557330156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 882-8833

4 Princess Rd
Suite 101
Lawrenceville, NJ 08648-2322
Phone (609) 896-1414

400 Middletown Blvd
Suite 104
Langhorne, PA 19047-1819
Phone (215) 750-9411

5 Walter E Foran Blvd
Suite 2008
Flemington, NJ 08822-4674
Phone (908) 806-6191

628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300

737 Main St
Suite 1
Lumberton, NJ 08048-3089
Phone (609) 267-6335

Hospital & facility affiliations

  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as individual
Quality
97.73
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G073259CAMDOphthalmology Physician
61304FLMDOphthalmology Physician
D43059MDMDOphthalmology Physician
178644NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC CurrentSince Dec 30, 2023 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Dec 30, 2023 Accepting new patients

Locations

5 Walter E Foran Blvd
Ste 2008
Flemington, NJ 08822
Phone (908) 806-6191

4 Princess Rd
Ste 101
Lawrenceville, NJ 08648
Phone (609) 896-1414

10 Plum St
Ste 600
New Brunswick, NJ 08901
Phone (732) 220-1600

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

501 Hyde Park
Doylestown, PA 18902
Phone (215) 230-9200

800 W State St
Ste 301
Doylestown, PA 18901
Phone (215) 230-8599

250 Fame Ave
Ste 101
Hanover, PA 17331
Phone (717) 521-0530

400 Middletown Blvd
Ste 104
Langhorne, PA 19047
Phone (215) 750-9411

Interoperability endpoints

  • Direct secure messaging: die@arcnj.intellechartdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1881690956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "STE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-896-1414",
            "fax_number": "609-896-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "STE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-896-1414",
            "fax_number": "609-896-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IE",
        "first_name": "DARMAKUSUMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05957000",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD049688-L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G073259",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "61304",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D43059",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "178644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.