NJ Eye Professionals, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA02048600 Issued in NJ

Legal business name

NJ EYE PROFESSIONALS, LLC

Practice address

906 Oak Tree Ave
Suite I
South Plainfield, NJ 07080-5127

Phone

(908) 222-8773

Fax

(908) 222-8771

NPI assigned

Feb 1, 2010

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Zenith Y. Ylanan, RN

Title

President

Phone

(908) 222-8700

Specialties & licenses 8

Addresses

Other identifiers 3

Other names 1

• Eye Professionals Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Preya Balroop, OD

  • Optometrist
  • South Plainfield, NJ
  • NPI 1023795713

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Shira Simone Goldberg, OD

  • Optometrist
  • Garwood, NJ
  • NPI 1710045497
  Medicare reassignment Care Compare group NPD
• Ramanpreet Kang, OD

  • Optometrist
  • South Plainfield, NJ
  • NPI 1104660216
  Medicare reassignment Care Compare group NPD
• Lourdes E. Lherisson, O.D

  • Optometrist
  • Elizabeth, NJ
  • NPI 1467995910
  Medicare reassignment Care Compare group NPD
• Melissa Manzo, O.D.

  • Optometrist
  • Union City, NJ
  • NPI 1114290319
  Medicare reassignment Care Compare group NPD
• Deepali Patel, OD

  • Optometrist
  • Newark, NJ
  • NPI 1447736756
  Medicare reassignment Care Compare group NPD
• Jordan Robert Taylor, OD

  • Optometrist
  • South Plainfield, NJ
  • NPI 1104659390
  Medicare reassignment Care Compare group NPD
• Sundeep Kaur, O.D.

  • Optometrist
  • Hillsborough, NJ
  • NPI 1679976948
  Medicare reassignment NPD
• Sukrana Uddin, OD

  • Optometrist
  • Randolph, MA
  • NPI 1174214183

  NJ

  Medicare reassignment NPD
• Atul Kumar Agarwala, MD

  • Ophthalmology Physician
  • Irvington, NJ
  • NPI 1427133586
  NPD
• Alejandro Bevacqua, MD PHYSICIAN

  • Ophthalmology Physician
  • Bergenfield, NJ
  • NPI 1487670865
  NPD
• Thomas Kincade, M.D.

  • Ophthalmology Physician
  • Perth Amboy, NJ
  • NPI 1376645325
  NPD

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1902138936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CENTENNIAL AVE",
            "address_2": "SUITE 345",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544324",
            "telephone_number": "908-222-8773",
            "fax_number": "908-222-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 OAK TREE AVE",
            "address_2": "SUITE I",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805127",
            "telephone_number": "908-222-8773",
            "fax_number": "908-222-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ EYE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "YLANAN",
        "authorized_official_first_name": "ZENITH",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-222-8700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06158600",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06628500",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02048600",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08315500",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08442900",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03966500",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "27OA0343600",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "103383-2",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA03966500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA08442900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENCE",
            "identifier": "25MA08315500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Professionals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ophthalmology Physician in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.