Individual provider Active NPI

Rachel Halatin, OD

  • Optometrist
  • Annandale, NJ
National Provider Identifier
1942046503
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00729900 Issued in NJ
Practice address
1465 Route 31 S
Annandale, NJ 08801-3129
Phone
(908) 730-6774
NPI assigned
Jul 3, 2024
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00729900 NJ Primary

Addresses

Primary practice location

1465 Route 31 S
Annandale, NJ 08801-3129

Mailing address

6 Hamilton PL
Pine Brook, NJ 07058-9736

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
I20240820003107 NJ Practitioner - Optometry 5294273355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KZS Eye Care PCGroup PAC ID 0648790436, 3 clinicians

Practice addresses (Care Compare)

1465 Route 31 S
Suite 22
Annandale, NJ 08801-3131
Phone (908) 730-6774

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00729900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
KZS Eye Care PC Optometrist CurrentSince Feb 13, 2025 Accepting new patients

Locations

1465 Route 31 S
Ste 22
Annandale, NJ 08801
Phone (908) 730-6774

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, 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": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1942046503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HAMILTON PL",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 ROUTE 31 S",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013129",
            "telephone_number": "908-730-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALATIN",
        "first_name": "RACHEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00729900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, NJ

Sources for this page

Verify at the official NPI Registry.