BAYSHORE OPHTHALMOLOGY, LLC
NPI 1114101037
Ophthalmology in Tinton Falls, NJ
NPI Status: Active since December 27, 2007
Contact Information
628 SHREWSBURY AVE
TINTON FALLS, NJ
ZIP 07701
Phone: (732) 842-2288
Fax: (732) 219-0072
- Organization
- Ophthalmology
- CLIA Number: 31D0114463
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About BAYSHORE OPHTHALMOLOGY, LLC
This page provides the complete NPI Profile along with additional information for Bayshore Ophthalmology, Llc, a provider established in Tinton Falls, New Jersey operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1114101037 assigned on December 2007. The practitioner's primary taxonomy code is 207W00000X with license number 25MA07128400 (NJ). The provider is registered as an organization and their NPI record was last updated 17 years ago. Bayshore Ophthalmology, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Surekha Collur Md (Owner)
- NPI
- 1114101037
- Provider Name
- BAYSHORE OPHTHALMOLOGY, LLC
- Entity Type
- Organization
- Location Address
- 628 SHREWSBURY AVE TINTON FALLS, NJ 07701
- Location Phone
- (732) 842-2288
- Location Fax
- (732) 219-0072
- Mailing Address
- 719 N BEERS ST SUITE 1B HOLMDEL, NJ 07733
- Mailing Phone
- (732) 264-6464
- Mailing Fax
- (732) 219-0072
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2007
- Last Update Date
- 04-09-2008
- Code Navigator
Ophthalmologists like Bayshore Ophthalmology, Llc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA07128400
- License State
- NJ
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | 27OA00562000 (NJ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H06223 | MEDICARE UPIN (02) | NJ | |
| 4986190002 | MEDICARE NSC (07) | NJ | |
| 069025 | MEDICARE PIN (08) | NJ | |
| 4986190001 | MEDICARE NSC (07) | NJ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D0114463
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. HAIG MINASSIAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Bayshore Ophthalmology, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 1 | 0 | 1 | 0 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 2 | 0 | 2 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 2 + 0 + 2 + 0 + 6 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1114101037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
TRACY DURKIN LCSW
Social Worker
(Clinical)
628 SHREWSBURY AVE
SUITE 9
TINTON FALLS, NJ
ZIP 07701
RED BANK REJUVENATION
Specialist
628 SHREWSBURY AVE
SUITE C
TINTON FALLS, NJ
ZIP 07701
TRACY DURKIN, LCSW INC.
Community/Behavioral Health
628 SHREWSBURY AVE
TINTON FALLS, NJ
ZIP 07701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114101037, enumerated as an "organization" on December 27, 2007.
The provider is located at 628 SHREWSBURY AVE TINTON FALLS, NJ 07701 and the phone number is (732) 842-2288.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
