Individual provider Active NPI

Jerry Alfred Caci, M.D.

  • Ophthalmology Physician
  • Bordentown, NJ
National Provider Identifier
1912159856
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA60173 Issued in NJ
Practice address
30 Barclay CT
Bordentown, NJ 08505-3123
Phone
(609) 298-2622
Fax
(609) 298-2622
NPI assigned
Oct 22, 2008
Last updated
Oct 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA60173 NJ Primary

Addresses

Primary practice location

30 Barclay CT
Bordentown, NJ 08505-3123

Mailing address

30 Barclay CT
Bordentown, NJ 08505-3123
Phone (609) 298-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA60173NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Associates PA Ophthalmology PastSince Dec 1, 2003 Accepting new patients
Northern New Jersey Eye Institute, PA Ophthalmology Past Accepting new patients
Reichert Eye Centers of N FL, PA Ophthalmology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/K8KD7A7C

Organizations & group practices 3

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1912159856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BARCLAY CT",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085053123",
            "telephone_number": "609-298-2622",
            "fax_number": "609-298-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BARCLAY CT",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085053123",
            "telephone_number": "609-298-2622",
            "fax_number": "609-298-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACI",
        "first_name": "JERRY",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA60173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.