Pediatric Ophthalmology Of Nj, P.c.
Ophthalmology in Wayne, New Jersey
1164460218- Practice location
- 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7047
- Phone
- 973-256-4111
- Fax
- 973-256-3719
- Last updated
- April 20, 2020
Pediatric Ophthalmology Of Nj, P.c. is a healthcare organization based in Wayne, NJ. Pediatric Ophthalmology Of Nj, P.c. practices in Wayne, NJ. The NPI Number for Pediatric Ophthalmology Of Nj, P.c. is 1164460218. The current practice location address for Pediatric Ophthalmology Of Nj, P.c. is 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7047 and can be reached out via phone at 973-256-4111 and via fax at 973-256-3719.
Provider Profile Details
- NPI Number
- 1164460218
- Provider Name
- Pediatric Ophthalmology Of Nj, P.c.
- Provider Entity Type
- Organization
- Address
- 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7047
- Phone Number
- 973-256-4111
- Fax Number
- 973-256-3719
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Organization Subpart
- No
- Authorized Official
- Kevin J. Mickey, MD · President · 973-256-4111
- Provider Enumeration Date
- June 2, 2006
- Last Update Date
- April 20, 2020
- Certification Date
- April 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 57 Willowbrook Blvd
Suite 411
Wayne, NJ 07470-7047 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-7047
- Phone Number
- 973-256-4111
- Fax Number
- 973-256-3719
Provider Business Mailing Address Details
- Address
- 57 Willowbrook Blvd
Suite 411
Wayne, NJ 07470-7047 - City
- Wayne
- State
- NJ
- Zip
- 07470-7047
- Phone Number
- 973-256-4111
- Fax Number
- 973-256-3719
License Information
- Taxonomy (1)
- Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist · 207WX0110X
- Taxonomy (2)
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pediatric Ophthalmology Of Nj, P.c.?
The NPI number of Pediatric Ophthalmology Of Nj, P.c. is 1164460218. It was assigned on June 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Pediatric Ophthalmology Of Nj, P.c.?
Pediatric Ophthalmology Of Nj, P.c. is registered under the primary taxonomy Ophthalmology (code 207W00000X).
Where does Pediatric Ophthalmology Of Nj, P.c. practice?
The practice location is 57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7047. The office can be reached at 973-256-4111 (phone) or 973-256-3719 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164460218 directly on the NPPES registry website.