Individual provider Active NPI

Alan Rosenheck, O.D.

  • Optometrist
  • Howell, NJ
National Provider Identifier
1902868698
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00468700 Issued in NJ
Practice address
2220 Route 9 S
Howell, NJ 07731-3333
Phone
(732) 780-0088
Fax
(732) 780-0374
NPI assigned
Apr 6, 2006
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00468700 NJ Primary

Addresses

Primary practice location

2220 Route 9 S
Howell, NJ 07731-3333

Mailing address

2220 Route 9 S
Howell, NJ 07731-3333
Phone (732) 780-0088

Other identifiers 2

IdentifierTypeStateIssuer
144754OtherNJCOLE/ EYE MED
28499OtherNJAETNA

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
I20050112000066 NJ Practitioner - Optometry 3375591845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Matzo and Rosenheck, LLCGroup PAC ID 3072561539, 2 clinicians

Practice addresses (Care Compare)

2220 Hwy 9
Howell, NJ 07731-3333
Phone (732) 780-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Matzo and Rosenheck, LLC Optometrist CurrentSince Jan 1, 2005 Accepting new patients

Locations

2220 US Highway 9
Howell, NJ 07731
Phone (732) 780-0088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1902868698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 ROUTE 9 S",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313333",
            "telephone_number": "732-780-0088",
            "fax_number": "732-780-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 ROUTE 9 S",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313333",
            "telephone_number": "732-780-0088",
            "fax_number": "732-780-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENHECK",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00468700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE/ EYE MED",
            "identifier": "144754",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "28499",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.