Individual provider Active NPI

Paul E Neiheiser, OD

  • Optometrist
  • Plainsboro, NJ
National Provider Identifier
1912097072
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA005123 Issued in NJ
Practice address
10 Schalks Crossing Rd
Plainsboro, NJ 08536-1612
Phone
(609) 275-8989
Fax
(609) 275-9327
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA005123 NJ Primary

Addresses

Primary practice location

10 Schalks Crossing Rd
Plainsboro, NJ 08536-1612

Mailing address

10 Schalks Crossing Rd
Plainsboro, NJ 08536-1612
Phone (609) 275-8989

Other identifiers 1

IdentifierTypeStateIssuer
0641930001OtherNJMEDICARE NSC

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
I20100623000115 NJ Practitioner - Optometry 2769492669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of Plainsboro, PCGroup PAC ID 2062945363, 3 clinicians

Practice addresses (Care Compare)

10 Schalks Crossing Rd
Plainsboro, NJ 08536-1623
Phone (609) 275-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA005123NJMDOptometrist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1912097072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SCHALKS CROSSING RD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361612",
            "telephone_number": "609-275-8989",
            "fax_number": "609-275-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SCHALKS CROSSING RD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361612",
            "telephone_number": "609-275-8989",
            "fax_number": "609-275-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIHEISER",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA005123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0641930001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.