MEDICARE: RETINA CARE CENTER, P.C.

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	207WX0107X	Retina Specialist (Ophthalmology) Physician	MA60199	NJ

General Provider Information

NPI Number	:	1831345578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA CARE CENTER, P.C.

Provider Business Mailing Address
First Line	:	1255 ROUTE 70 STE 31N
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5973
Country	:	US
Telephone Number	:	732-905-0004
Fax Number	:	732-905-3868

Provider Business Practice Location Address
First Line	:	1255 ROUTE 70 STE 31N
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5973
Country	:	US
Telephone Number	:	732-905-0004
Fax Number	:	732-905-3868

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JONATHAN M BAROFSKY
Credential	:	M.D.
Telephone Number	:	732-920-4700

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	05/03/2017

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