MAREZ MEGALLA MD
NPI 1962856047
Ophthalmology in Toms River, NJ

Q: What is Marez Megalla's NPI number?

The NPI number for Marez Megalla is 1962856047. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Q: What is Marez Megalla'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 Marez Megalla was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 14, 2016PECOS EnrolledAccepts Medicare Assignment

14 MULE RD, TOMS RIVER, NJ 08755(732) 286-0900(732) 244-6063 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2024, Sep 3, 2024, May 17, 2023 and 4 more (7 updates tracked since 2017).

On this page

About Marez Megalla Md NPPES

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

MAREZ MEGALLA MD (NPI 1962856047) is an individual ophthalmology provider in Toms River, New Jersey, licensed in New Jersey (25MA12288000) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center-southern Campus, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2016).

NPPES Registry Identity

NPI1962856047

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameMAREZ MEGALLACredential: MD

Location Address14 MULE RDToms River, NJ 08755-5060

Mailing Address14 Mule RdToms River, NJ 08755-5060 · (732) 286-0900 · Fax (732) 244-6063

Phone(732) 286-0900

Fax(732) 244-6063

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2016

Enumeration DateApril 14, 2016

Last NPPES UpdateSeptember 9, 20247 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1962856047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NJ · 25MA12288000

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.

14 MULE RD, Toms River, NJ 08755

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Insurance and more.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

Marez Megalla Md 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 ID3870918824

PECOS Enrollment IDI20241028001696

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 Marez Megalla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shore Eye Associates PA

0.8 mi

Durable Medical Equipment & Medical Supplies

530 LAKEHURST ROAD, SUITE 206
Toms River, NJ 08755

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

NPI 1093737017 (732) 341-4733

Umass Memorial Medical Group, Inc.

194 mi

Urgent Care

78 SUTTON AVE
Oxford, MA 01540

Reassigned Medicare billing, Massachusetts enrollment
2,902 clinicians in this Medicare group

NPI 1982381018 (508) 499-1760

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

Areas of Expertise CMS Part B claims 17

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

303 services210 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.

161 services138 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.

135 services127 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

79 services49 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

64 services64 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

36 services13 patients

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.

33 services31 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

32 services32 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

32 services20 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

30 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 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.

23 services21 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

21 services21 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

19 services18 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

13 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310084

Location600 River AveLakewood, NJ 08701 · Ocean County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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 4

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

LISA ATHWAL

Ophthalmology

14 MULE RD
TOMS RIVER, NJ 08755

Ocean County (732) 286-0900

GILLIAN ULDRICH OD

Optometrist

14 MULE RD
TOMS RIVER, NJ 08755

Ocean County (732) 286-0900

DR. HARJIT S ATHWAL M.D.

Ophthalmology

14 MULE RD, SUITE 1
TOMS RIVER, NJ 08755

Ocean County (732) 286-0900

DR. BARINDER S ATHWAL M.D.

Ophthalmology

14 MULE RD, SUITE 1
TOMS RIVER, NJ 08755

Ocean County (732) 286-0900

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 Marez Megalla's NPI number?

The NPI number for Marez Megalla is 1962856047. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Marez Megalla located?

Marez Megalla practices at 14 Mule Rd, Toms River, NJ 08755. The listed phone number is (732) 286-0900.

What is Marez Megalla's specialty?

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

Is Marez Megalla enrolled in Medicare?

Yes. Marez Megalla 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 Marez Megalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marez Megalla reassigns Medicare benefits to 2 organizations: Shore Eye Associates PA (Toms River, NJ) and Umass Memorial Medical Group, Inc. (Oxford, MA). 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 Marez Megalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marez Megalla accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 4 other insurers list Marez Megalla 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.

Is Marez Megalla affiliated with any hospitals?

According to CMS data, Marez Megalla is affiliated with Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Marez Megalla was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.