Individual provider Active NPI

Yulia Naumova, OD

  • Optometrist
  • Secaucus, NJ
National Provider Identifier
1003220351
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00652600 Issued in NJ
Practice address
400 Park PL
Secaucus, NJ 07094-3654
Phone
(201) 421-9321
NPI assigned
Jun 15, 2014
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5037 FL
Optometrist 152W00000X 27OA00652600 NJ Primary

Addresses

Primary practice location

400 Park PL
Secaucus, NJ 07094-3654

Mailing address

234 Knox Ave Unit B
Cliffside Park, NJ 07010-2510
Phone (201) 421-9321

Other practice location 1

140 Main St
3001 North State Road 7, Lauderdale Lakes FL 33313
Paterson, NJ 07505-1023
Phone (201) 421-9321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140731000490 NJ Practitioner - Optometry 0547486300 Practice locations: Secaucus, NJ
I20151102000498 FL Practitioner - Optometry 0547486300 Practice locations: Lauderdale Lakes, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

234 Knox Ave
Cliffside Park, NJ 07010-2510

400 Park PL
Secaucus, NJ 07094-3654
Phone (201) 421-9321

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5037FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
My Optometry Group PC Optometrist CurrentSince May 18, 2025 Accepting new patients
Family Eye Clinic, Inc. Optometrist Past Accepting new patients
Visiting Vision Services Optometrist Past Accepting new patients
Martin Sung Kim, O.D., Inc. Optometrist Past Accepting new patients
MJ Optometry Group, PC Optometrist Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1003220351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 KNOX AVE UNIT B",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102510",
            "telephone_number": "201-421-9321",
            "fax_number": "201-945-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK PL",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943654",
            "telephone_number": "201-421-9321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Main St",
            "address_2": "3001 North State Road 7, Lauderdale Lakes FL 33313",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075051023",
            "country_code": "US",
            "telephone_number": "201-421-9321",
            "fax_number": "201-482-8543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAUMOVA",
        "first_name": "YULIA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-15",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5037",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00652600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.