Santamaria Eye Center P a

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA034125 Issued in NJ

Legal business name

SANTAMARIA EYE CENTER P A

Practice address

104 Market St
Perth Amboy, NJ 08861-4412

Phone

(732) 826-5159

Fax

(732) 826-2107

NPI assigned

Nov 8, 2005

Last updated

Mar 25, 2019By 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

Miss Mencia Disla

Title

Practice Administrator

Phone

(732) 826-5159

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Santamaria Eye Center P a

  • Ophthalmology Physician
  • Edison, NJ
  • NPI 1841425840

  2961445606

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Santamaria Eye Center P a

  • Ophthalmology Physician
  • Edison, NJ
  • NPI 1841425840

  O20050603000737

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Santamaria Eye Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Santamaria Eye Center

  • Optometrist
  • Edison, NJ
  • NPI 1346656915
  NPD tax ID
• Santamaria Eye Center P a

  • Ophthalmology Physician
  • Edison, NJ
  • NPI 1841425840
  NPD tax ID

Locations

Practitioners 14

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.

• Alain Michael Bauza, M.D.

  • Ophthalmology Physician
  • Freehold, NJ
  • NPI 1619234077
  NPD
• Laila Colicchio, O.D.

  • Optometrist
  • Perth Amboy, NJ
  • NPI 1366423287
  NPD
• Kenneth N Darvin, M.D.

  • Ophthalmology Physician
  • Perth Amboy, NJ
  • NPI 1992786800
  NPD
• Rajen Uday Desai, M.D.

  • Ophthalmology Physician
  • Freehold, NJ
  • NPI 1174788699
  NPD
• Eric Andrew Gershenbaum, M.D.

  • Ophthalmology Physician
  • Freehold, NJ
  • NPI 1548227309
  NPD
• Bruce E. Kanengiser, M.D.

  • Ophthalmology Physician
  • Piscataway, NJ
  • NPI 1801956271
  NPD
• Tahera Mishal Khan, OD

  • Optometrist
  • Freehold, NJ
  • NPI 1972158798
  NPD
• Caroline Zakhary Morgan, OD

  • Optometrist
  • East Brunswick, NJ
  • NPI 1740857465
  NPD
• Frank Parisi, MD

  • Ophthalmology Physician
  • Perth Amboy, NJ
  • NPI 1326058587
  NPD
• Rajvi Patel, OD

  • Optometrist
  • East Brunswick, NJ
  • NPI 1346850971
  NPD
• Colleen Mary Sica, O.D.

  • Optometrist
  • Edison, NJ
  • NPI 1952465650
  NPD
• Taylor Kupferberg, OD

  • Optometrist
  • Garnerville, NY
  • NPI 1225690886
  NPD

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1952382871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARKET ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614412",
            "telephone_number": "732-826-5159",
            "fax_number": "732-826-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARKET ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614412",
            "telephone_number": "732-826-5159",
            "fax_number": "732-826-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTAMARIA EYE CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "DISLA",
        "authorized_official_first_name": "MENCIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-826-5159",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA034125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1093155",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF NY",
            "identifier": "352731",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "LS342",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0074584000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "27003",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8940703",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF NJ",
            "identifier": "OK7192",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isamilka Maria Sanchez Acosta, MD
• Kathleen Sanchez, APN
• Sandeep Sandhu
• Chintana Sang-Urai, MD
• Santa Maria Pharmacy, Inc.
• Jaime Santamaria II, M.D.
• Janet Santiago
• Juan Santiago
• Akinlabi Adetayo Sanusi, M.D
• Ashley Sapra, DMD

• Ophthalmology Physician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.