NORTHERN NEW JERSEY EYE INSTITUTE PA NPI 1033294640

NPI Information

NPI: 1033294640
Provider Name: NORTHERN NEW JERSEY EYE INSTITUTE PA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 31D2061781

Address:
71 2ND ST
SOUTH ORANGE, NJ
ZIP 07079
Phone: (973) 763-2203
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NORTHERN NEW JERSEY EYE INSTITUTE PA is an ambulatory surgical clinic center in South Orange, NJ. NORTHERN NEW JERSEY EYE INSTITUTE PA NPI is 1033294640. The provider is registered as an organization entity type.

The provider's business location address is:

71 2ND ST
SOUTH ORANGE, NJ
ZIP 07079-855
Phone: (973) 763-2203
Fax: (973) 762-9449

The provider's authorized official is Bernard C Spier .
The authorized official title is Owner and has the following contact phone number (973) 763-2203.

The CLIA number assigned to this NPI record is 31D2061781 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/19/2016.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	1058036	OTHER	NEW JERSEY	NJ HEALTH
2	311024	OTHER	NEW JERSEY	HORIZON BC/BS OF NEW JERS
3	14013	OTHER	NEW JERSEY	WELLCHOICE
4	305559	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE
5	48846	OTHER	NEW JERSEY	AETNA
6	4490480	OTHER	NEW JERSEY	CIGNA
7	IL9976	OTHER	NEW HAMPSHIRE	HEALTH NET
8	A596208	OTHER	NEW JERSEY	OXFORD HEALTH PLANS
9	P00093961	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	RAILROAD MEDICARE
10	004271	OTHER	NEW HAMPSHIRE	AMERIHEALTH

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

NPI Synchronization or Removal

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