Active NPI
Jonathan Fishbein, O.D.
- Optometrist
- North Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OA 5536
- Practice address
- 2090 State Route 27
Ste 105
North Brunswick, NJ 08902-1142 - Phone
- (732) 658-6765
- Fax
- (732) 568-0041
- NPI assigned
- Jul 4, 2006
- Last updated
- May 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OA 5536 | NJ | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OA5536 | NJ | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | OA 5536 | NJ |
Addresses
Primary practice location
2090 State Route 27
Ste 105
North Brunswick, NJ 08902-1142
Mailing address
2090 State Route 27
Ste 105
North Brunswick, NJ 08902-1142
Phone (732) 658-6765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7650507 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2090 State Route 27
Suite 105
North Brunswick, NJ 08902-1142
Phone (732) 265-8676
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA 5536 | NJ | MD | Optometrist |
| OA5536 | NJ | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Herbert J Bell P a | Optometrist | Past | Accepting new patients |
| Metuchen Vision LLC | Optometrist | Past | Accepting new patients |
Locations
2090 State Route 27
Ste 105
North Brunswick, NJ 08902
Phone (732) 265-8676
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.
-
- Optometrist
- North Brunswick, NJ
- NPI 1205967973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1952331704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 STATE ROUTE 27",
"address_2": "STE 105",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021142",
"telephone_number": "732-658-6765",
"fax_number": "732-568-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 STATE ROUTE 27",
"address_2": "STE 105",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021142",
"telephone_number": "732-658-6765",
"fax_number": "732-568-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHBEIN",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OA 5536",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NJ",
"license": "OA5536",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NJ",
"license": "OA 5536",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7650507",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.