Provider Demographics
NPI:1225171150
Name:EYE INSTITUTE OF CENTRAL NEW JERSEY, PC
Entity Type:Organization
Organization Name:EYE INSTITUTE OF CENTRAL NEW JERSEY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CONRAD
Authorized Official - Last Name:AIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-632-0323
Mailing Address - Street 1:1130 RARITAN RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3378
Mailing Address - Country:US
Mailing Address - Phone:908-325-6227
Mailing Address - Fax:908-325-3306
Practice Address - Street 1:1130 RARITAN RD STE 1
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3378
Practice Address - Country:US
Practice Address - Phone:908-325-6227
Practice Address - Fax:908-325-3306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07826300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0101371Medicaid
NJ22-3842822OtherMAGNACARE
NJ527B1OtherWELL CHOICE
NJ22-3842822OtherQUALCARE
NJ0400968OtherGHI
NJ1311820OtherUNITED HEALTHCARE
NJ2678988000OtherAMERIHEALTH NJ
NJ5796125OtherAETNA PPO
NJ22-3842822OtherHORIZON BLUE CROSS NJ
NJP3663640OtherOXFORD
NJ1247000OtherAETNA HMO
NJ6241886OtherCIGNA