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EDWARD V NIEMCZYK O.D.
NPI 1366480659
Optometrist in Monmouth Junction, NJ

Active since June 02, 2006PECOS Enrolled
1 EXECUTIVE DR, MONMOUTH JUNCTION, NJ 08852(732) 297-7575 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward V Niemczyk O.d. NPPES

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

EDWARD V NIEMCZYK O.D. (NPI 1366480659) is an individual optometrist in Monmouth Junction, New Jersey, licensed in New Jersey (27OA00415800) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366480659
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameEDWARD V NIEMCZYKCredential: O.D.
Location Address1 EXECUTIVE DRMonmouth Junction, NJ 08852-2407
Mailing Address1 Executive DrMonmouth Junction, NJ 08852-2407 · (732) 297-7575
Phone(732) 297-7575
Sole ProprietorYes
Enumeration DateJune 2, 2006
Last NPPES UpdateNovember 9, 2007
✔ NPI 1366480659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 27OA00415800
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1 EXECUTIVE DR, Monmouth Junction, NJ 08852
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Other Identifiers 2

Medicare UPINU23948NJ
Medicare PINNI006864NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward V Niemczyk O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
81 services77 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
71 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%47 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

AP DENTAL
Dentist (General Practice)
1 EXECUTIVE DR, SUITE 103
MONMOUTH JUNCTION, NJ 08852
Middlesex County (732) 595-8171
RICK PATEL
Optometrist
1 EXECUTIVE DR
MONMOUTH JUNCTION, NJ 08852
Middlesex County (732) 297-7575
DR. SONIA PAREKH VAIDYA OD
Optometrist
1 EXECUTIVE DR, SUITE 201
MONMOUTH JUNCTION, NJ 08852
Middlesex County (732) 297-7575
MR. RYAN WILLIAM DORAN O.D.
Optometrist
1 EXECUTIVE DR
MONMOUTH JUNCTION, NJ 08852
Middlesex County (732) 297-7575
NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
Podiatrist (Foot & Ankle Surgery)
1 EXECUTIVE DR, SUITE 202
MONMOUTH JUNCTION, NJ 08852
Middlesex County (732) 662-3050
DR. SAMANTHA KEE DMD
Dentist
1 EXECUTIVE DR, SUITE 103
MONMOUTH JUNCTION, NJ 08852
Middlesex County (732) 422-8668

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 Edward Niemczyk's NPI number?

The NPI number for Edward Niemczyk is 1366480659. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Edward Niemczyk located?

Edward Niemczyk practices at 1 Executive Dr, Monmouth Junction, NJ 08852. The listed phone number is (732) 297-7575.

What is Edward Niemczyk's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Edward Niemczyk enrolled in Medicare?

Yes. Edward Niemczyk is registered in the Medicare PECOS enrollment system.

What insurance does Edward Niemczyk accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Edward Niemczyk 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 Edward Niemczyk was last updated on November 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.