Provider Demographics
NPI:1619064102
Name:OPHTHALMIC PHYSICIANS OF MONMOUTH PA
Entity Type:Organization
Organization Name:OPHTHALMIC PHYSICIANS OF MONMOUTH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:I
Authorized Official - Last Name:STEINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-739-0707
Mailing Address - Street 1:733 N BEERS ST
Mailing Address - Street 2:STE U4
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1528
Mailing Address - Country:US
Mailing Address - Phone:732-739-0707
Mailing Address - Fax:732-739-6722
Practice Address - Street 1:733 N BEERS ST
Practice Address - Street 2:STE U4
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1528
Practice Address - Country:US
Practice Address - Phone:732-739-0707
Practice Address - Fax:732-739-6722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2914603Medicaid
NJ2914603Medicaid
NJ0160700001Medicare NSC