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NEW JERSEY VISION ASSOCIATES PC NPI 1659370575


NPI Information

NPI: 1659370575
Provider Name: NEW JERSEY VISION ASSOCIATES PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 31D2136703

Address:
1455 BROAD ST STE 110
BLOOMFIELD, NJ
ZIP 07003
Phone: (973) 779-0808
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NEW JERSEY VISION ASSOCIATES PC is an ophthalmology in Bloomfield, NJ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NEW JERSEY VISION ASSOCIATES PC NPI is 1659370575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1455 BROAD ST STE 110
BLOOMFIELD, NJ
ZIP 07003-039
Phone: (973) 779-0808
Fax: (973) 471-1929

The provider's authorized official is Mitchell Vogel .
The authorized official title is President and has the following contact phone number (973) 779-0808.

The CLIA number assigned to this NPI record is 31D2136703 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 6/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology25MA06370000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17650809MEDICAIDNEW JERSEY
20499882OTHERGHI ID NUMBER
32063375OTHERAETNA ID NUMBER
41870514OTHERUNITED HEALTHCARE ID
5656338004OTHERCIGNA ID NUMBER
6P1094006OTHEROXFORD ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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