Provider Demographics
NPI:1245293257
Name:MINSKY, RONALD JEFFREY (OD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JEFFREY
Last Name:MINSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2169
Mailing Address - Country:US
Mailing Address - Phone:732-389-6512
Mailing Address - Fax:732-389-0585
Practice Address - Street 1:255 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2169
Practice Address - Country:US
Practice Address - Phone:732-389-6512
Practice Address - Fax:732-389-0585
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3445152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1973005OtherUNITEDHEALTHCARE
NJP2888341OtherOXFORD PROVIDER NUMBER
NJ2K3804OtherHEALTHNET PROVIDER NUMBER
NJ222377804OtherQUALCARE
NJ820194OtherAETNA PROVIDER NUMBER
NJ222377804OtherQUALCARE
NJP2888341OtherOXFORD PROVIDER NUMBER
NJ820194OtherAETNA PROVIDER NUMBER