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PEDIATRIC OPHTHALMOLOGY OF NJ, P.C.
NPI 1164460218
Ophthalmology in Wayne, NJ

Active since June 02, 2006
57 WILLOWBROOK BLVD, SUITE 411, WAYNE, NJ 07470(973) 256-4111(973) 256-3719 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2020, Feb 25, 2020 (2 updates tracked since 2020).

About Pediatric Ophthalmology Of Nj, P.c. NPPES

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

PEDIATRIC OPHTHALMOLOGY OF NJ, P.C. (NPI 1164460218) is a healthcare organization registered as an ophthalmology in Wayne, New Jersey and active in the NPI registry since June 2006. The organization lists Kevin J. Mickey, President, as its authorized official.

NPPES Registry Identity

NPI1164460218
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePEDIATRIC OPHTHALMOLOGY OF NJ, P.C.
Location Address57 WILLOWBROOK BLVD, SUITE 411Wayne, NJ 07470-7047
Mailing Address57 Willowbrook Blvd, Suite 411Wayne, NJ 07470-7047 · (973) 256-4111 · Fax (973) 256-3719
Phone(973) 256-4111
Fax(973) 256-3719
Organization SubpartNo
Authorized OfficialKevin J. MickeyPresident · (973) 256-4111
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 20, 20202 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1164460218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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 ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X
57 WILLOWBROOK BLVD, Wayne, NJ 07470
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Other Identifiers 1

Medicaid8550204NJ

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAFA SAID ABUKHRAYBEH M.D.
Pediatrics
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Passaic County (973) 754-4025
WILLOWBROOK PEDIATRICS
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Passaic County (973) 754-4025
NORTH JERSEY FERTILITY ASSOCIATES, LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
57 WILLOWBROOK BLVD
WAYNE, NJ 07470
Passaic County (973) 754-4055
SIMEON DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
57 WILLOWBROOK BLVD, FL 2
WAYNE, NJ 07470
Passaic County (973) 890-2792
JAGODA EWA BRONSTEIN M.D.
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Passaic County (973) 754-4025
SHERRY YANG MD
Ophthalmology
57 WILLOWBROOK BLVD, SUITE 411
WAYNE, NJ 07470
Passaic County (973) 256-4111
LISA E SCOFIELD M.D.
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Passaic County (973) 754-4025
PATRICIA PAPADOPOULOS PAVLOU M.D.
Pediatrics (Adolescent Medicine)
57 WILLOWBROOK BLVD, SUITE 421
WAYNE, NJ 07470
Passaic County (973) 754-4025

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 Pediatric Ophthalmology Of Nj, P.C.'s NPI number?

The NPI number for Pediatric Ophthalmology Of Nj, P.C. is 1164460218. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Pediatric Ophthalmology Of Nj, P.C. located?

Pediatric Ophthalmology Of Nj, P.C. is located at 57 Willowbrook Blvd Suite 411, Wayne, NJ 07470. The listed phone number is (973) 256-4111.

What is Pediatric Ophthalmology Of Nj, P.C.'s specialty?

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

What insurance does Pediatric Ophthalmology Of Nj, P.C. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Pediatric Ophthalmology Of Nj, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Ophthalmology Of Nj, P.C. was last updated on April 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.