Ophthalmology of Montclair Limited Liability Company

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07491800 Issued in NJ

Legal business name

OPHTHALMOLOGY OF MONTCLAIR LIMITED LIABILITY COMPANY

Practice address

33 N Fullerton Ave
1St Floor
Montclair, NJ 07042-3412

Phone

(973) 509-6039

Fax

(973) 509-6069

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn Phyllis Childs, MDNPI 1023067741

Title

Owner

Phone

(973) 509-6039

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: kchilds@ophmontclair.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn P Childs, M.D.

  • Ophthalmology Physician
  • Montclair, NJ
  • NPI 1023067741
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1912047713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N FULLERTON AVE",
            "address_2": "1ST FLOOR",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423412",
            "telephone_number": "973-509-6039",
            "fax_number": "973-509-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N FULLERTON AVE",
            "address_2": "1ST FLOOR",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423412",
            "telephone_number": "973-509-6039",
            "fax_number": "973-509-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY OF MONTCLAIR LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-509-6039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07491800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine Marie Onorati, LCSW
• Rose Oosting, PHD
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• Optimum Orthopedics Physical Therapy & Rehab Center II LLC
• Oral & Maxillofacial Associates of Montclair
• Floriza Ordona-Vega, PT CERT MDT
• Amy Origlieri, PHD

• Ophthalmology Physician in Montclair, NJ
• Providers in Montclair, 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 27, 2007; 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.