Individual provider Active NPI

George Kneisser, MD

  • Ophthalmology Physician
  • Red Bank, NJ
National Provider Identifier
1982600433
Registry record updated Nov 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA 06377100 Issued in NJ
Practice address
565 Hwy 35
Red Bank, NJ 07701-5047
Phone
(732) 747-4443
Fax
(732) 747-4439
NPI assigned
Jun 21, 2005
Last updated
Nov 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA 06377100 NJ Primary

Addresses

Primary practice location

565 Hwy 35
Red Bank, NJ 07701-5047

Mailing address

565 Hwy 35
Red Bank, NJ 07701-5047
Phone (732) 747-4443

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001048 NJ Practitioner - Ophthalmology 9739175258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA 06377100NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George Kneisser Ophthalmology CurrentSince Jul 21, 2006 Accepting new patients
Middletown Eye Care LLC Ophthalmology Past Accepting new patients
Bayshore Ophthalmology, LLC Ophthalmology Past Accepting new patients
Medical Eye Center, P.C. Ophthalmology Past Accepting new patients

Locations

565 State Route 35
Red Bank, NJ 07701
Phone (732) 219-7140

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227312000000",
    "number": "1982600433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 HWY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015047",
            "telephone_number": "732-747-4443",
            "fax_number": "732-747-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 HWY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015047",
            "telephone_number": "732-747-4443",
            "fax_number": "732-747-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEISSER",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA 06377100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.