Mariam Elias, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00729000 Issued in NJ

Practice address

685 Kearny Ave
Kearny, NJ 07032

Phone

(201) 461-0020

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Eye Surgeons Northern New Jersey P aGroup PAC ID 7315939394, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Affiliated Eye Surgeons Northern New Jersey P a

  dba Affiliated Eye Surgeons

  • Ophthalmology Physician
  • Morristown, NJ
  • NPI 1528029014
  Medicare reassignment Care Compare group
• Affiliated Eye Surgeons Northern New Jersey P a

  dba Affiliated Eye Surgeons

  • Ophthalmology Physician
  • West Orange, NJ
  • NPI 1225230261
  NPD
• Affiliated Eye Surgeons Northern New Jersey P a

  • Ophthalmology Physician
  • Denville, NJ
  • NPI 1427397710
  NPD
• Pink Vision Associates LLC

  • Optometrist
  • Irvington, NJ
  • NPI 1417248949
  NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1972348753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ILFORD AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315913",
            "telephone_number": "201-875-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "07032",
            "telephone_number": "201-461-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "MARIAM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00729000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantah Easley, LCSW
• Edward S. Maslansky
• Wesam El Shafee, D.M.D
• Elevate Dental LLC
• Elenita Elias
• Elizabeth Noboa Dentista Familiar PC
• Mohamed Elsayed Elsamra
• Emad Jacob, MD PC
• Emergency Associates of Kearny, P.a.
• Oyenike O. Emiola, PMHNP- BC

• Optometrist in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.

Verify at the official NPI Registry.