Provider Demographics
NPI:1134415078
Name:NEW JERSEY EYE INSTITUTE INC
Entity type:Organization
Organization Name:NEW JERSEY EYE INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:MATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-800-2939
Mailing Address - Street 1:99 DUTCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-2185
Mailing Address - Country:US
Mailing Address - Phone:845-359-7272
Mailing Address - Fax:845-359-7388
Practice Address - Street 1:1033 ROUTE 46 STE 105
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2448
Practice Address - Country:US
Practice Address - Phone:845-359-7272
Practice Address - Fax:845-353-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty