Individual provider Active NPI

John A Collini, O.D.

  • Optometrist
  • Manalapan, NJ
National Provider Identifier
1952390536
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5021 Issued in NJ
Practice address
357 Route 9
Manalapan, NJ 07726-3284
Phone
(732) 972-2221
Fax
(732) 972-1195
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5021 NJ Primary
Optometrist 152W00000X 4986 NY

Addresses

Primary practice location

357 Route 9
Manalapan, NJ 07726-3284

Mailing address

357 Route 9
Manalapan, NJ 07726-3284
Phone (732) 972-2221

Other identifiers 3

IdentifierTypeStateIssuer
311333OtherNJNVA
2750067OtherNJAETNA
223254269OtherNJHORIZON BCBS

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
I20050808000249 NJ Practitioner - Optometry 2466345723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

357 Route 9
Manalapan, NJ 07726-3284
Phone (732) 972-2221

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5021NJMDOptometrist
4986NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spare Pair III Inc. Optometrist CurrentSince Dec 31, 2009 Accepting new patients
John a Collini OD PC Optometrist PastSince Jun 20, 1993 Accepting new patients

Locations

357 US Highway 9
Manalapan, NJ 07726
Phone (732) 641-3364

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1952390536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263284",
            "telephone_number": "732-972-2221",
            "fax_number": "732-972-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263284",
            "telephone_number": "732-972-2221",
            "fax_number": "732-972-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINI",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5021",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "311333",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2750067",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS",
            "identifier": "223254269",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.