Michael L. Mund, M.D., F.a.C.S., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA02610200 Issued in NJ

Legal business name

MICHAEL L. MUND, M.D., F.A.C.S., P.A.

Practice address

1187 Main Ave
Ste. 1F
Clifton, NJ 07011-2252

Phone

(973) 546-6161

Fax

(973) 546-1708

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Mund, M.D.

Title

President

Phone

(973) 546-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EYE CARE CENTER OF NEW JERSEY Other name

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912925868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE",
            "address_2": "STE. 1F",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "973-546-6161",
            "fax_number": "973-546-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE",
            "address_2": "STE. 1F",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "973-546-6161",
            "fax_number": "973-546-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. MUND, M.D., F.A.C.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-546-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02610200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2906503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CARE CENTER OF NEW JERSEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Michael Ardito, M.D.
• Michael P Lewko MD LLC
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• Michelles Outreach for Kingdom Kids
• Courtney C Mick
• Mid-State Anesthesia Consultants LLC

• Ophthalmology Physician in Clifton, NJ
• Providers in Clifton, 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 22, 2020; 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.