Retina Specialists of New Jersey LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA08077000 Issued in NJ

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

Last updated

Jan 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean C Lalin, MDNPI 1275580128

Title

Medical Director

Phone

(973) 871-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Eyedox2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Retina Specialists of New Jersey LLC

  dba Eyedox

  • Durable Medical Equipment & Medical Supplies
  • Hackettstown, NJ
  • NPI 1053862896
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean C Lalin, M.D.

  • Ophthalmology Physician
  • Morristown, NJ
  • NPI 1275580128
  Medicare reassignment Care Compare group NPD Authorized official
• Kruti Navin Shah, O.D.

  • Optometrist
  • Sparta, NJ
  • NPI 1154698868
  Medicare reassignment Care Compare group NPD
• Lee M Angioletti, M.D.

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1881693059
  Medicare reassignment NPD
• Megan B. Bruther, O.D.

  • Optometrist
  • Morristown, NJ
  • NPI 1295794865
  Medicare reassignment NPD
• Bruce E. Kanengiser, M.D.

  • Ophthalmology Physician
  • Piscataway, NJ
  • NPI 1801956271
  Medicare reassignment NPD
• Harold S Lappin, M.D.

  • Ophthalmology Physician
  • Hackettstown, NJ
  • NPI 1457540742
  Medicare reassignment NPD

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": [],
    "endpoints": [],
    "other_names": []
}

• James Henry Reid, MD
• Wendy Ann Reiss, PMHNP
• Alan Remde, M.D.
• Kelly Dawn Repka, PT
• Rez Padpad Resano, PT
• Manasi Revankar, D.O.
• Reviving Life Mental Health Services LLC
• Shiva Rezvanian, M.D
• Marquetta Richardson
• Rise Ventures Corp (Synergy HomeCare of Phillipsburg)

• Ophthalmology Physician in Phillipsburg, NJ
• Providers in Phillipsburg, 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 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.

Verify at the official NPI Registry.