Jade Pestritto, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6131 Issued in FL

Practice address

2120 S Federal Hwy
Fort Lauderdale, FL 33316-3545

Phone

(954) 467-3777

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Craig a Fidler OD PA

  dba Fidler EyeCare

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1942529714
  Medicare reassignment NPD

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1063146058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SW 6TH ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330681709",
            "telephone_number": "954-531-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163545",
            "telephone_number": "954-467-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTRITTO",
        "first_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodnay Dije Perry
• Perseverance Homecare LLC
• Personal Caring L.L.C.
• Jacqueline Ann Pertusiello, LCSW
• Eric Joel Pesetsky, M.D.
• Peter a. Namnum, MD, PA
• Peter J Simon MD PA (Peter J. Simon MD)
• Peter P Alongi DC PA
• Peter Scerbo DMD P.a.
• Peter Scerbo DMD P.a. (Florida Smiles Dental)

• Optometrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.