Optical Palace of Newark LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

TD3405 Issued in NJ

Legal business name

OPTICAL PALACE OF NEWARK LLC

Practice address

89 Market St
Newark, NJ 07102-1736

Phone

(973) 424-0070

Fax

(973) 424-0072

NPI assigned

Nov 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Parag Champaklal Raithatha, OPTICIAN

Title

V.President

Phone

97342420070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Puneet Rastogi, O.D.

  • Optometrist
  • Albuquerque, NM
  • NPI 1346356185
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003995069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MARKET ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021736",
            "telephone_number": "973-424-0070",
            "fax_number": "973-424-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MARKET ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021736",
            "telephone_number": "973-424-0070",
            "fax_number": "973-424-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL PALACE OF NEWARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAITHATHA",
        "authorized_official_first_name": "PARAG",
        "authorized_official_middle_name": "CHAMPAKLAL",
        "authorized_official_title_or_position": "V.PRESIDENT",
        "authorized_official_telephone_number": "97342420070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "TD3405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105619",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Oppong-Badu, RN
• Lawrence Oppong-Kyekyeku
• Linda N Oppong, FNP-BC
• Kathleen A Opromollo
• Optical Group LTD
• Optimum Acupuncture, P.C.
• Optimum Health Care NJ PC
• Optometric Association of Newark
• Ora Billing Management
• Oral & Maxillofacial Surgery Institute PC

• Optician in Newark, NJ
• Providers in Newark, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.