Maimone Vision Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MAIMONE VISION ASSOCIATES, LLC

Practice address

1135 Main Ave
Clifton, NJ 07011-2353

Phone

(973) 685-7280

NPI assigned

Apr 1, 2008

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terrylee Maimone, ODNPI 1265436091

Title

President

Phone

(973) 685-7280

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terrylee Maimone, O.D.

  • Optometrist
  • Guttenberg, NJ
  • NPI 1265436091
  Medicare reassignment NPD Authorized official
• Kristy Ann Newman, PT

  • Physical Therapist
  • Belmar, NJ
  • NPI 1760405799
  NPD (past)
• Jolie Nickel, O.D.

  • Optometrist
  • Clifton, NJ
  • NPI 1841543170
  NPD (past)
• Shoshana Pinsky, O.D.

  • Optometrist
  • Clifton, NJ
  • NPI 1780960971
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1942472741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 DEVONSHIRE DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132662",
            "telephone_number": "973-685-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "973-685-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONE VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "MAIMONE",
        "authorized_official_first_name": "TERRYLEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-685-7280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "518967",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K3806",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6018700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2319156",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Magner, LPC, NCC
• Michael R Magwood, DC
• Ahmad F Mahmoud, M.D.
• Rana Mahmoud
• Ronda Sami Mahmoud, ANP
• Main Avenue Clifton Surgery Center, LLC
• Main Avenue Pharmacy Corp
• Main Medical Imaging Center
• Main Plaza Pharmacy LLC
• Maincure Pharmacy LLC

• Optometrist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.