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NPI Code Detail

MEDICARE: EYE SURGICAL SPECIALISTS OF NEW JERSEY P A

MEDICARE: EYE SURGICAL SPECIALISTS OF NEW JERSEY P A
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
1261QA1903XAmbulatory Surgical Clinic/Center22288NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336138635
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE SURGICAL SPECIALISTS OF NEW JERSEY P A
Provider Business Mailing Address
First Line : 107 N CENTER DR
Second Line :
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-4909
Country : US
Telephone Number : 732-297-8001
Fax Number : 732-297-8007
Provider Business Practice Location Address
First Line : 107 N CENTER DR
Second Line :
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-4909
Country : US
Telephone Number : 732-297-8001
Fax Number : 732-297-8007
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL Y WONG
Credential : M.D.
Telephone Number : 732-297-8001
Provider Enumeration Date : 10/19/2005
Last Update Date : 10/22/2025

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Practice Location Address:
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1548273956 — JAMES RALPH TYLER MD
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Practice Fax:
1700960465 — SHAILA Y KARANDIKAR MD
Practice Location Address:
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1467715524 — DIALYSIS CLINIC INC.
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1649233347 — CATHERINE J SCHIANO DO
Practice Location Address:
754 STATE ROUTE 18 , SUITE 107
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Practice Phone: 732-257-1171
Practice Fax: 732-257-2618

Directions to “EYE SURGICAL SPECIALISTS OF NEW JERSEY P A ” Practice Location

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