ROGER YOUNG, PC (NPI# 1205881109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205881109 |
| Entity Type | Organization |
| Organization Name | ROGER YOUNG, PC |
| Other Organization Name | BAYSIDE EYE CENTER |
| Practice Address |
2004 Bayshore Rd Villas NJ 08251-1815 |
| Practice Telephone | 6098861578 |
| Practice Fax Number | 6098863520 |
| Mailing Telephone | 6098861578 |
| Mailing Fax Number | 6098863520 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-06-03 |
| Authorized Official Name | DR. ROGER ALLEN YOUNG (PRESIDENT) |
| Authorized Official Telephone | 6098867156 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 270A00383700 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1865609 | 05 |
| Other Name | Type Code |
|---|---|
| Bayside Eye Center | Doing Business As Name - Organization |
| Street Address |
2004 BAYSHORE RD |
| City | VILLAS |
| State | NJ |
| Zip Code | 08251-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744124 | Roger Allen Young | Optometrist | 2004 Bayshore Rd, Villas, NJ 08251-1815 | 2005-07-14 |
| 1609059021 | Carl Leonard Hirshorn | Optometrist | 2004 Bayshore Rd, Villas, NJ 08251-1815 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124587134 | Optimal Behavioral Health, LLC | Clinic/Center | 889 Bayshore Road, Villas, NJ 08251 | 2019-03-19 |
| 1275984502 | Nicole Sagan Farrell | Counselor | 899 Bayshore Road, Families Matter LLC, Villas, NJ 08251 | 2016-06-28 |
| 1922101013 | Patti C Fellows | Nurse Practitioner | 425 Fern Rd, Villas, NJ 08251 | 2006-09-06 |
| 1659328987 | Aloysius Chukwumuche Onwuka | Internal Medicine | 1740 Bayshore Road, Villas, NJ 08251 | 2006-05-30 |
| 1427054345 | Lower Township Rescue Squad | Non-emergency Medical Transport (VAN) | 101 Georgia and Main St, Villas, NJ 08251 | 2005-06-24 |
| 1508882051 | Shore Atlantic Geriatrics LLC | Internal Medicine | 1740 Bayshore Road, Villas, NJ 08251 | 2006-07-15 |
| 1376679894 | Coogan Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 14 Oak Ave, Villas, NJ 08251-0004 | 2007-02-26 |
| 1801006663 | Mary Lou Fricke-neal | Physical Therapist | 314 Shadeland Ave, Villas, NJ 08251-1249 | 2007-05-23 |
| 1235355256 | Linda Louise Kampmeier | Nursing Care | 14 Redwood Ave, Villas, NJ 08251-1475 | 2007-04-18 |
| 1548576218 | Francienna Grant | Physical Therapist | 2006 Bayshore Rd, Villas, NJ 08251-1815 | 2010-08-19 |
| Find all providers in zip 08251 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555657 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2451 Route 1, North Brunswick, NJ 08902-4328 | 2020-10-10 |
| 1629676861 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 321 Martin Truex Jr Blvd, Manahawkin, NJ 08050-2834 | 2020-10-10 |
| 1508463886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1007 Highway Route 9n, Old Bridge, NJ 08857 | 2020-10-08 |
| 1518574847 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Marketplace Blvd, Hamilton, NJ 08691-2100 | 2020-09-30 |
| 1407463169 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Wrangleboro Rd, Mays Landing, NJ 08330 | 2020-09-28 |
| 1174130918 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Route 23 N, Riverdale, NJ 07457 | 2020-09-25 |
| 1265049134 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 30 S State Rt 17, Paramus, NJ 07652-2645 | 2020-09-25 |
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1437765989 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Route 17 (northbound), E. Rutherford, NJ 07073 | 2020-09-21 |
| 1932715521 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1904 Route 35, Oakhurst, NJ 07755-2715 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.