NPIMap

Organization Active NPI

Associated Retinal Consultants, LLC

Doing business as Eye Associated Vineland

  • Durable Medical Equipment & Medical Supplies
  • Cherry Hill, NJ
National Provider Identifier
1902478308
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ASSOCIATED RETINAL CONSULTANTS, LLC
Doing business as
Eye Associated Vineland
Practice address
1401 Highway 70 #18
Cherry Hill, NJ 08034-0803
Phone
(856) 428-5797
Fax
(856) 428-6359
NPI assigned
Jul 14, 2021
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Steven A Madreperla, MD, PHD
Title
President/Ceo
Phone
(908) 458-8321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Optometrist 152W00000X NU

Addresses

Primary practice location

1401 Highway 70 #18
Cherry Hill, NJ 08034-0803

Mailing address

PO Box 24014
Belfast, ME 04915-4491
Phone (908) 458-8313

Other names 1

  • Eye Associated Vineland Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connect

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227001848 NJ DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 2961509161 Practice locations: Cherry Hill, NJ

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Assoc Retinal Consltnts LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1902478308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24014",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154491",
            "telephone_number": "908-458-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HIGHWAY 70 #18",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080340803",
            "telephone_number": "856-428-5797",
            "fax_number": "856-428-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RETINAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "MADREPERLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-458-8321",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connect",
            "affiliation": "N",
            "address_1": "1401 Highway 70 #18",
            "city": "cherry hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080340803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eye Associated Vineland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Associated Vineland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.