Active NPI 1295833143 Individual Practitioner Female Practitioner

Dr. Monique S. Roy , MD

Ophthalmology • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Monique Roy, MD is a registered healthcare professional specializing in Ophthalmology in Newark, NJ. Practice services are available at 90 BERGEN ST under active NPI credentials.

Frequently performed procedures and clinical services include imaging of retina, established patient outpatient office visit, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

90 Bergen St
Doc 6100

Newark, NJ 071032425

Telephone 9739722065

Fax 9739721244

Associated Practice Facility / Clinic

🏢 University Physician Associates Of New Jersey Inc Facility NPI 1902816507

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Newark, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.3 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Newark, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	38	32	$574.00	$27.09
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$200.00	$71.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	88	53	$412.00	$27.74
99213 Established patient office or other outpatient visit, typically 15 minutes	53	37	$200.00	$72.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	35	$264.00	$107.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	95	60	$250.00	$28.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	43	$264.00	$109.85
92014 Established patient complete exam of visual system	36	25	$232.00	$85.83
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$200.00	$74.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	115	67	$232.00	$88.40
92134 Imaging of retina	114	68	$250.00	$28.64
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$200.00	$56.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	120	80	$232.00	$87.31
92134 Imaging of retina	99	66	$250.00	$28.36
92134 Imaging of retina	34	29	$250.00	$46.04
92014 Established patient complete exam of visual system	32	25	$232.00	$142.97
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$200.00	$55.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	131	78	$250.00	$46.96
92014 Established patient complete exam of visual system	92	61	$232.00	$87.05
92014 Established patient complete exam of visual system	86	55	$232.00	$141.85
92134 Imaging of retina	18	13	$250.00	$28.68
92275 Recording of retinal electrical responses to external stimuli	13	13	$500.00	$172.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	151	95	$250.00	$46.03
92014 Established patient complete exam of visual system	116	77	$232.00	$87.43
92014 Established patient complete exam of visual system	97	66	$232.00	$138.39
67028 Injection of drug into eye	27	14	$1564.00	$111.16
92134 Imaging of retina	21	16	$250.00	$28.16
92275 Recording of retinal electrical responses to external stimuli	15	13	$500.00	$170.14

Medical Specialties & State Licenses

CMS Verified: 2022-03-21

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA03964500

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2513005 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Albert Khouri , MD

Ophthalmology

NPI 1093915837

Doctor of Medicine (M.D.)

Dr. Marco Zarbin , MD, PhD

Ophthalmology

NPI 1376641423

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Amy Lam , OD, MS

Optometrist

NPI 1417325994

Doctor of Optometry, Master of Science

Dr. Jacob Veliky , MD

Student in an Organized Health Care Education/Training Program

NPI 1467207373

Doctor of Medicine (M.D.)

Dr. Larry Frohman , MD

Ophthalmology - Neuro-ophthalmology

NPI 1760588180

Doctor of Medicine (M.D.)

Dr. Robert Fechtner , MD

Ophthalmology

NPI 1871527259

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 23, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2009

Registered at 90 BERGEN ST, DOC 6100, NEWARK, NJ 071032425 (Tel: 9739722065)

📍

Updated Business Mailing Address July 23, 2009

Registered at 30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 071073000

👤

Provider Name / Credentials Updated July 23, 2009

Recorded as MONIQUE ROY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2009

Ophthalmology (License #25MA03964500 in NJ)

🟢

Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295833143

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 21, 2006

Last Update: March 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

30 Bergen St, Admc 12 1205

Newark, NJ 071073000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.