Individual provider Active NPI

Mario Beshai, OD

  • Optometrist
  • Phillipsburg, NJ
National Provider Identifier
1982133484
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00673400 Issued in NJ
Practice address
1300 US Highway 22
Phillipsburg, NJ 08865-4108
Phone
(908) 454-9890
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00673400 NJ Primary

Addresses

Primary practice location

1300 US Highway 22
Phillipsburg, NJ 08865-4108

Mailing address

746 Midland Blvd
Union, NJ 07083-7426
Phone (908) 956-4711

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
I20201112001164 NJ Practitioner - Optometry 7214347798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 US Hwy 22
Phillipsburg, NJ 08865-4108
Phone (908) 956-4711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00673400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Vision Eye Associates LLC Optometrist CurrentSince Oct 1, 2020 Accepting new patients

Locations

1300 US Highway 22
Phillipsburg, NJ 08865
Phone (908) 454-4047

Organizations & group practices 1

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1982133484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 MIDLAND BLVD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837426",
            "telephone_number": "908-956-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 US HIGHWAY 22",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654108",
            "telephone_number": "908-454-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHAI",
        "first_name": "MARIO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00673400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.