Individual provider Active NPI

Jonathan Fishbein, O.D.

  • Optometrist
  • North Brunswick, NJ
National Provider Identifier
1952331704
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA 5536 Issued in NJ
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7650507MedicaidNJ

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
I20050727000188 NJ Practitioner - Optometry 1254369770 Reassigns benefits to 1 organization

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
Somerset Eye Care, LLCGroup PAC ID 5597813030, 4 clinicians

Practice addresses (Care Compare)

2090 State Route 27
Suite 105
North Brunswick, NJ 08902-1142
Phone (732) 265-8676

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA 5536NJMDOptometrist
OA5536NJMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Eye Care, LLC Optometrist CurrentSince Dec 7, 2000 Accepting new patients
Herbert J Bell P a Optometrist PastSince May 9, 1990 Accepting new patients
Metuchen Vision LLC Optometrist PastSince Apr 1, 2021 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.

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

Verify at the official NPI Registry.