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BAYSHORE OPHTHALMOLOGY, LLC
NPI 1114101037
Ophthalmology in Tinton Falls, NJ

Active since December 27, 2007CLIA 31D2066595 · Waiver
628 SHREWSBURY AVE, TINTON FALLS, NJ 07701(732) 842-2288(732) 219-0072 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bayshore Ophthalmology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYSHORE OPHTHALMOLOGY, LLC (NPI 1114101037) is a healthcare organization registered as an ophthalmology in Tinton Falls, New Jersey and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Surekha Collur, Owner, as its authorized official.

NPPES Registry Identity

NPI1114101037
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBAYSHORE OPHTHALMOLOGY, LLC
Location Address628 SHREWSBURY AVETinton Falls, NJ 07701-4932
Mailing Address719 N Beers St, Suite 1bHolmdel, NJ 07733-1522 · (732) 264-6464 · Fax (732) 264-5114
Phone(732) 842-2288
Fax(732) 219-0072
Organization SubpartNo
Authorized OfficialSurekha CollurOwner · (732) 264-6464
Enumeration DateDecember 27, 2007
Last NPPES UpdateApril 9, 2008
✔ NPI 1114101037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NJ · 25MA07128400
Definition
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.
Also ListedOptometristTaxonomy 152W00000X · License 27OA00562000 (NJ)
628 SHREWSBURY AVE, Tinton Falls, NJ 07701
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Other Identifiers 4

Medicare UPINH06223NJ
Medicare NSC4986190002NJ
Medicare PIN069025NJ
Medicare NSC4986190001NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bayshore Ophthalmology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bayshore Ophthalmology, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Surekha Collur, M.D.
Ophthalmology
NPI 1750491015
719 N BEERS ST SUITE 1B
Holmdel, NJ 07733
(732) 264-6464
✔ PECOS✔ Accepts Medicare8.2 mi
Robert Satty, O.D.
Optometry
NPI 1295892347
1809 CORLIES AVE SUITE 1
Neptune, NJ 07753
(732) 774-5566
✔ PECOS✔ Accepts Medicare8.5 mi
Khelly Savant
Ophthalmology
NPI 1639674641
1016 MAIN AVE
Clifton, NJ 07011
(973) 546-5700
✔ PECOS✔ Accepts Medicare38 mi
Rajeshwari Atkuri, MD
Ophthalmology
NPI 1699750463
3 COOPER PLZ SUITE 510
Camden, NJ 08103
(856) 753-1547
✔ PECOS✔ Accepts Medicare61 mi
Jeff Murad, M.D.
Ophthalmology
NPI 1548230436
1789 ROUTE 9
Clifton Park, NY 12065
(518) 371-0765
✔ PECOS✔ Accepts Medicare177 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2066595

Bayshore Ophthalmology · Holmdel, NJ
Active · expires Sep 29, 2027
CLIA Number31D2066595
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorSurekha Collur
Laboratory Phone(732) 264-6464
Laboratory LocationBayshore Ophthalmology719 N Beers Street, Suite 1B Attn Susan Story, Holmdel, NJ 07733
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayshore Ophthalmology, LLC's NPI number?

The NPI number for Bayshore Ophthalmology, LLC is 1114101037. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Bayshore Ophthalmology, LLC located?

Bayshore Ophthalmology, LLC is located at 628 Shrewsbury Ave, Tinton Falls, NJ 07701. The listed phone number is (732) 842-2288.

What is Bayshore Ophthalmology, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Bayshore Ophthalmology, LLC enrolled in Medicare?

Yes. Bayshore Ophthalmology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bayshore Ophthalmology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Bayshore Ophthalmology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bayshore Ophthalmology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2066595) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayshore Ophthalmology, LLC was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.