KEVIN J MICKEY M.D.
NPI 1538101662
Ophthalmology in Wayne, NJ

Q: What is Kevin Mickey's NPI number?

The NPI number for Kevin Mickey is 1538101662. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Kevin Mickey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Mickey was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

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: November 08, 2026.

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

On this page

About Kevin J Mickey M.d. NPPES

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

KEVIN J MICKEY M.D. (NPI 1538101662) is an individual ophthalmology provider in Wayne, New Jersey, licensed in New Jersey (25MA05006300) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1538101662

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameKEVIN J MICKEYCredential: M.D.

Location Address57 WILLOWBROOK BLVD, SUITE 411Wayne, NJ 07470-7045

Mailing Address57 Willowbrook Blvd, Suite 411Wayne, NJ 07470-7045 · (973) 256-4111 · Fax (973) 256-3719

Phone(973) 256-4111

Fax(973) 256-3719

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJune 12, 2006

Last NPPES UpdateApril 20, 20202 updates tracked since enumeration

NPPES CertifiedApril 20, 2020

✔ NPI 1538101662 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 · 25MA05006300

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 · License 25MA05006300 (NJ)

57 WILLOWBROOK BLVD, Wayne, NJ 07470

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Other Identifiers 2

Medicaid1141708NJ

Other25MA05006300NJ · State Medical License

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin J Mickey M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355332081

PECOS Enrollment IDI20040521000240

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Mickey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.

4.4 mi

Internal Medicine

703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Josephs Healthcare Inc
372 clinicians in this Medicare group

NPI 1497791297 (973) 754-2000

St Josephs Medical Group PC

4.4 mi

Internal Medicine

703 MAIN ST
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
317 clinicians in this Medicare group

NPI 1205425519 (973) 754-2000

Consensus Medical Group LLC

53 mi

Internal Medicine

2399 ROUTE 34 BLDG A5
Manasquan, NJ 08736

Reassigned Medicare billing, New Jersey enrollment
150 clinicians in this Medicare group

NPI 1811466881 (732) 528-5533

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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.

Other Providers at the Same Location NPPES 16

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

PEDIATRIC OPHTHALMOLOGY OF NJ, P.C.

Ophthalmology

57 WILLOWBROOK BLVD, SUITE 411
WAYNE, NJ 07470

Passaic County (973) 256-4111

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

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 Kevin Mickey's NPI number?

The NPI number for Kevin Mickey is 1538101662. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Kevin Mickey located?

Kevin Mickey practices at 57 Willowbrook Blvd Suite 411, Wayne, NJ 07470. The listed phone number is (973) 256-4111.

What is Kevin Mickey's specialty?

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

Is Kevin Mickey enrolled in Medicare?

Yes. Kevin Mickey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Mickey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Mickey reassigns Medicare benefits to 3 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ), St Josephs Medical Group PC (Paterson, NJ) and Consensus Medical Group LLC (Manasquan, NJ). Each 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 Kevin Mickey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Mickey accept?

Health plans from Ambetter Health and Oscar Health list Kevin Mickey 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 Kevin Mickey was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.