Individual provider Active NPI

Jessica Garden, OPTOMETRIST

  • Optometrist
  • Iselin, NJ
National Provider Identifier
1992205785
Registry record updated Feb 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00676600 Issued in NJ
Practice address
485 Route 1 S BLDG a
Iselin, NJ 08830-3009
Phone
(732) 750-0400
NPI assigned
Feb 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008684 NY
Optometrist 152W00000X 27OA00676600 NJ Primary

Addresses

Primary practice location

485 Route 1 S BLDG a
Iselin, NJ 08830-3009

Mailing address

14 Hommell St S
Valley Stream, NY 11580-2333
Phone (516) 528-5163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180815003566 NJ Practitioner - Optometry 6709135379 Reassigns benefits to 1 organization
I20180816000648 NY Practitioner - Optometry 6709135379 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
Group practices
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians

Practice addresses (Care Compare)

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00676600NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Surgery of New York PC CurrentSince Jul 16, 2018 Accepting new patients
Omni Eye Specialists P a CurrentSince Jul 16, 2018 Accepting new patients

Locations

619 River Dr
Fl 2
Elmwood Park, NJ 07407
Phone (201) 796-2020

2200 Route 10
Ste 102
Parsippany, NJ 07054
Phone (973) 538-7400

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

2201 Bergenline Ave
Ste 3
Union City, NJ 07087
Phone (908) 341-2629

475 Prospect Ave
West Orange, NJ 07052
Phone (973) 325-6716

20 E 46th St
Ph 1
New York, NY 10017
Phone (646) 320-0686

20 E 46th St
Ph
New York, NY 10017
Phone (212) 353-0030

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jessica.garden.p1@direct.omnieyeservices.nextgenshare.com

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": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518912000000",
    "number": "1992205785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HOMMELL ST S",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802333",
            "telephone_number": "516-528-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE 1 S BLDG A",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303009",
            "telephone_number": "732-750-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDEN",
        "first_name": "JESSICA",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008684",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00676600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.