| New Jersey Eye Center, P.a. | |
|
1 N Washington Ave Bergenfield NJ 07621-2125 | |
| (201) 384-7333 | |
| (201) 384-9915 |
| Full Name | New Jersey Eye Center, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 N Washington Ave, Bergenfield, New Jersey |
| Authorized Official Name and Position | Joseph V Dello Russo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2013847333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Eye Center, P.a. 1 N Washington Ave Bergenfield NJ 07621-2125 Ph: (201) 384-7333 | New Jersey Eye Center, P.a. 1 N Washington Ave Bergenfield NJ 07621-2125 Ph: (201) 384-7333 |
| NPI Number | 1235234055 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 06/06/2008 |
| Medicare PECOS PAC ID | 0941295968 |
|---|---|
| Medicare Enrollment ID | O20070319000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235234055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lauren A Kallina |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023017357 PECOS PAC ID: 0749212421 Enrollment ID: I20050901000739 |
| Provider Name | Patrick M Higgins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285642470 PECOS PAC ID: 6507882107 Enrollment ID: I20070628000201 |
| Provider Name | Allison Beth Gunzburg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235132804 PECOS PAC ID: 8426954470 Enrollment ID: I20081217000182 |
| Provider Name | Mark R. Heimmel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942427125 PECOS PAC ID: 7315092426 Enrollment ID: I20090825000666 |
| Provider Name | Alain M Bauza |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619234077 PECOS PAC ID: 8729226246 Enrollment ID: I20180109001527 |
| Provider Name | Farzan M Gorgani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497133615 PECOS PAC ID: 1850628686 Enrollment ID: I20211025003263 |
| Provider Name | Peter Wawrzusin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235660051 PECOS PAC ID: 7517374465 Enrollment ID: I20220207000573 |
| Provider Name | Christopher Kin Ming Orr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871906206 PECOS PAC ID: 6204185853 Enrollment ID: I20230801000600 |
Am Pm Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 S Washington Ave, Bergenfield, NJ 07621 Phone: 201-387-0177 Fax: 201-966-0588 | |
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