Organization Active NPI

Ocean County Retina PC

  • Ophthalmology Physician
  • Toms River, NJ
National Provider Identifier
1952344707
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA07562000 Issued in NJ
Legal business name
OCEAN COUNTY RETINA PC
Practice address
780 Route 37 W
Suite 200
Toms River, NJ 08755-5059
Phone
(732) 797-1855
Fax
(732) 797-1856
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Haris Irfan Amin, MDNPI 1013910942
Title
President
Phone
(732) 797-1855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA07562000 NJ Primary

Addresses

Primary practice location

780 Route 37 W
Suite 200
Toms River, NJ 08755-5059

Mailing address

780 Route 37 W
Suite 200
Toms River, NJ 08755-5059
Phone (732) 797-1855

Other identifiers 2

IdentifierTypeStateIssuer
DA5557OtherNJMEDICARE RAILROAD
0031232MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000971 NJ Part B Supplier - Clinic/Group Practice 3274421565 Receives reassigned benefits from 4 practitioners
Practice locations: Howell, NJ; Lincroft, NJ; Toms River, NJ

National Provider Directory

National Provider Directory

Locations

4511 Route 9 N
Howell, NJ 07731
Phone (732) 994-7072

1301 Route 72 W
Ste 280
Manahawkin, NJ 08050

780 Route 37 W
Ste 200
Toms River, NJ 08755
Phone (732) 797-1855

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1952344707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ROUTE 37 W",
            "address_2": "SUITE 200",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555059",
            "telephone_number": "732-797-1855",
            "fax_number": "732-797-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ROUTE 37 W",
            "address_2": "SUITE 200",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555059",
            "telephone_number": "732-797-1855",
            "fax_number": "732-797-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN COUNTY RETINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "HARIS",
        "authorized_official_middle_name": "IRFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-797-1855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07562000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA5557",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031232",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.