Active NPI
Retina Specialists of New Jersey LLC
- Ophthalmology Physician
- Phillipsburg, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA08077000
- Legal business name
- RETINA SPECIALISTS OF NEW JERSEY LLC
- Practice address
- 422 Coventry Dr FL 2
Phillipsburg, NJ 08865-1969 - Phone
- (973) 871-2020
- Fax
- (973) 871-2000
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean C Lalin, MD
- Title
- Medical Director
- Phone
- (973) 871-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA08077000 | NJ | Primary |
Addresses
Primary practice location
422 Coventry Dr FL 2
Phillipsburg, NJ 08865-1969
Mailing address
422 Coventry Dr FL 2
Phillipsburg, NJ 08865-1969
Phone (973) 871-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE8107 | Other | NJ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060717000282 | NJ | Part B Supplier - Clinic/Group Practice | 1456364496 |
Receives reassigned benefits from 6 practitioners Practice locations: Hackettstown, NJ; Morristown, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Eyedox
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Hackettstown, NJ
- NPI 1053862896
Locations
330 South St
Ste 2
Morristown, NJ 07960
330 South St
Ste 1
Morristown, NJ 07960
Phone (973) 871-2020
422 Coventry Dr
Fl 2
Phillipsburg, NJ 08865
Phone (908) 871-2020
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421884800000",
"number": "1992740203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 COVENTRY DR FL 2",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651969",
"telephone_number": "973-871-2020",
"fax_number": "973-871-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 COVENTRY DR FL 2",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651969",
"telephone_number": "973-871-2020",
"fax_number": "973-871-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA SPECIALISTS OF NEW JERSEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2015-01-22",
"status": "A",
"authorized_official_last_name": "LALIN",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "973-871-2020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA08077000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE8107",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.