Individual provider Active NPI

Harry John Coniaris, M.D.

  • Ophthalmology Physician
  • Holmdel, NJ
National Provider Identifier
1992775563
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA05041600 Issued in NJ
Practice address
723 N Beers St
1C
Holmdel, NJ 07733-1517
Phone
(732) 888-3688
Fax
(732) 888-3633
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 25MA05041600 NJ Primary

Addresses

Primary practice location

723 N Beers St
1C
Holmdel, NJ 07733-1517

Mailing address

723 N Beers St
1C
Holmdel, NJ 07733
Phone (732) 888-3688

Other identifiers 2

IdentifierTypeStateIssuer
01356541MedicaidNY
5191505MedicaidNJ

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100826000077 NJ Practitioner - Ophthalmology 1153445242 Reassigns benefits to 1 organization
I20110421000368 NY Practitioner - Ophthalmology 1153445242 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

723 N Beers St
Holmdel, NJ 07733-1512
Phone (732) 888-3688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05041600NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harry John Coniaris MD PC Ophthalmology CurrentSince Jan 18, 2011 Accepting new patients

Locations

723 N Beers St
Ste 1C
Holmdel, NJ 07733
Phone (732) 264-8422

11 Ralph Pl
Ste 103
Staten Island, NY 10304
Phone (718) 273-2540

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1992775563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "address_2": "1C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-888-3688",
            "fax_number": "732-888-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "address_2": "1C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331517",
            "telephone_number": "732-888-3688",
            "fax_number": "732-888-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIARIS",
        "first_name": "HARRY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05041600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01356541",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5191505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.