Individual provider Active NPI

Mamie Zeng Chen, O.D.

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1902035595
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00629600 Issued in NJ
Practice address
66 York St
1St Floor Lower Level
Jersey City, NJ 07302-3838
Phone
(201) 855-9789
NPI assigned
Jul 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00629600 NJ Primary
Optometrist 152W00000X TUV 007408 NY

Addresses

Primary practice location

66 York St
1St Floor Lower Level
Jersey City, NJ 07302-3838

Mailing address

66 York St
1St Floor Lower Level
Jersey City, NJ 07302-3838
Phone (201) 855-9789

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
I20130206000494 NJ Practitioner - Optometry 2668519919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exchange Place Eye AssociatesGroup PAC ID 9133373871, 2 clinicians

Practice addresses (Care Compare)

66 York St
Suite 1
Jersey City, NJ 07302-3839
Phone (201) 855-9789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00629600NJMDOptometrist
TUV 007408NYMDOptometrist

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": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1902035595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 YORK ST",
            "address_2": "1ST FLOOR LOWER LEVEL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023838",
            "telephone_number": "201-855-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 YORK ST",
            "address_2": "1ST FLOOR LOWER LEVEL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023838",
            "telephone_number": "201-855-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MAMIE",
        "middle_name": "ZENG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-05",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00629600",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 007408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.