Pediatric Ophthalmology Of Nj, P.C.

LBN: Pediatric Ophthalmology Of Nj, P.C.
Pediatric Ophthalmology Of Nj, P.C. is an health care organization with primary practice located at 57 Willowbrook Blvd Suite 411, Wayne NJ 07470-7047. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Pediatric Ophthalmology Of Nj, P.C. can be contacted via phone (973) 256-4111, or through Mickey, Kevin J. via phone (973) 256-4111.

Contact Information

Primary practice address
57 Willowbrook Blvd Suite 411 Wayne NJ 07470-7047
Phone: (973) 256-4111
Fax: (973) 256-3719
Website:
Map and Directions
Authorized official contact:
Name: Mickey, Kevin J. Doctor of Medicine (MD)
Phone: (973) 256-4111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1164460218
LBN Legal business name Pediatric Ophthalmology Of Nj, P.C.
DBA Doing business as
Authorized official Mickey, Kevin J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 20th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164460218 NPPES
New Jersey MEDICAID 8550204

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