MEDICARE: GARDEN STATE OPHTHALMOLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1215899414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDEN STATE OPHTHALMOLOGY

Provider Business Mailing Address
First Line	:	150 MORRISTOWN RD STE 100
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2626
Country	:	US
Telephone Number	:	908-738-1484
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 MORRISTOWN RD STE 100
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2626
Country	:	US
Telephone Number	:	908-738-1484
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	CAROLINE R MOSHEL
Credential	:	MD
Telephone Number	:	908-738-1484

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	01/10/2026

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Directions to “GARDEN STATE OPHTHALMOLOGY ” Practice Location

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