Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin J Mickey, MD

Individual provider Ophthalmology Physician · NPI 1538101662

Kevin J Mickey, MD is an Ophthalmology in Wayne, New Jersey. Qualified in 1986, 40 years ago. Practices with Consensus Medical Group LLC, a 137-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
40
Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

57 Willowbrook Blvd Ste 411
Wayne, NJ 07470-7045
Phone: (973) 256-4111
Fax: (973) 256-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 25MA05006300 (NJ)
Pediatric Ophthalmology and Strabismus Specialist Physician Taxonomy 207WX0110X · Licence 25MA05006300 (NJ)

Record details

NPI number1538101662
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address57 Willowbrook Blvd, Suite 411, Wayne, NJ 07470-7045

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Consensus Medical Group Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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