Provider Demographics
NPI:1033294640
Name:NORTHERN NEW JERSEY EYE INSTITUTE PA
Entity Type:Organization
Organization Name:NORTHERN NEW JERSEY EYE INSTITUTE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:SPIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-763-2203
Mailing Address - Street 1:71 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1855
Mailing Address - Country:US
Mailing Address - Phone:973-763-2203
Mailing Address - Fax:973-762-9449
Practice Address - Street 1:71 2ND ST
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1855
Practice Address - Country:US
Practice Address - Phone:973-763-2203
Practice Address - Fax:973-762-9449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ311024OtherHORIZON BC/BS OF NEW JERS
NJ1058036OtherNJ HEALTH
NHIL9976OtherHEALTH NET
NJ14013OtherWELLCHOICE
NJ48846OtherAETNA
NJA596208OtherOXFORD HEALTH PLANS
NJ4490480OtherCIGNA
NH004271OtherAMERIHEALTH
NJ305559Medicare ID - Type UnspecifiedMEDICARE
NHIL9976OtherHEALTH NET