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ROXBURY EYE CENTER PC NPI 1346293735


NPI Information

NPI: 1346293735
Provider Name: ROXBURY EYE CENTER PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 31D2135088

Address:
66 SUNSET STRIP
SUITE 107
SUCCASUNNA, NJ
ZIP 07876
Phone: (973) 584-4451
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ROXBURY EYE CENTER PC is a specialist in Succasunna, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROXBURY EYE CENTER PC NPI is 1346293735. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

66 SUNSET STRIP
SUITE 107
SUCCASUNNA, NJ
ZIP 07876-345
Phone: (973) 584-4451
Fax: (973) 584-2099

The provider's authorized official is Robert Scott Pinke .
The authorized official title is Owner/president and has the following contact phone number (973) 584-4451.

The CLIA number assigned to this NPI record is 31D2135088 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 6/8/2012.


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
1174400000XSpecialistMA05160800NEW 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
1E13222MEDICARE UPINNEW JERSEY
24705106MEDICAIDNEW JERSEY
35654505MEDICAIDNEW JERSEY
4E53421MEDICARE UPINNEW JERSEY
5F29463MEDICARE UPINNEW JERSEY
60476300001MEDICARE NSCNEW JERSEY
70661007MEDICAIDNEW JERSEY

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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