Philadelphia Eye Associates of South Jersey

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PHILADELPHIA EYE ASSOCIATES OF SOUTH JERSEY

Practice address

1113 Hospital Dr
Suite 302
Willingboro, NJ 08046-1103

Phone

(609) 871-1112

Fax

(609) 871-0002

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Coleen Akkari

Title

Billing Manager

Phone

(215) 423-5154

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph I Markoff, MD PHD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1043203532
  NPD (past)
• Carolyn S Repke, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1093716532
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1982690020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481536",
            "telephone_number": "609-871-1112",
            "fax_number": "609-871-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 HOSPITAL DR",
            "address_2": "SUITE 302",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461103",
            "telephone_number": "609-871-1112",
            "fax_number": "609-871-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA EYE ASSOCIATES OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "AKKARI",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-423-5154"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Logan Persily, D.O.
• Personalized Independent Living Opporuntities & Training Services (P.I.L.O.T. Services)
• Muhammad Ahsan Pervez, MD
• Leez-Betina Petit
• Donald Petroski, M.D.
• Nivia Nivia Phillips, APN
• Deborah Pierce, MECHANOTHERAPIST
• Pink Bra Boutique LLC
• Marc Platt, M.D.
• Samantha Lyn Posluszny

• Ophthalmology Physician in Willingboro, NJ
• Providers in Willingboro, 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 Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.