Martin A Kitagawa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA 00436200 Issued in NJ

Practice address

1750 Deptford Center Rd
Ste a
Deptford, NJ 08096-5283

Phone

(856) 848-3162

Fax

(856) 848-5657

NPI assigned

Aug 23, 2006

Last updated

Sep 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

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.

• Ami Dinesh Patel, O.D.

  • Optometrist
  • Woodbury, NJ
  • NPI 1861551608
  Medicare reassignment

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.

• Martin a Kitagawa

  dba Martin A Kitagawa, O.D. & Associates

  • Optometrist
  • Deptford, NJ
  • NPI 1134246820
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1902913577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 DEPTFORD CENTER RD",
            "address_2": "STE A",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965283",
            "telephone_number": "856-848-3162",
            "fax_number": "856-848-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 DEPTFORD CENTER RD",
            "address_2": "STE A",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965283",
            "telephone_number": "856-848-3162",
            "fax_number": "856-848-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAGAWA",
        "first_name": "MARTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA 00436200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pawandeep Kaur
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Mustajab Khalil, DMD
• Aliya Khan, DDS
• Stuart Leslie Knauer, RPH
• George Koren, M.ED., LPC, LCADC
• Jeffrey Koslow, D.M.D.
• Fabiana Maria Kreines, MD
• Danielle Lamantia

• Optometrist in Deptford, NJ
• Providers in Deptford, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.