Jane Kutsowsky, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00584200 Issued in NJ

Practice address

130 S Main St
Unit 4
Marlboro, NJ 07746-2477

Phone

(732) 252-6555

Fax

(732) 312-5249

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marlboro Family Eye Care IncGroup PAC ID 9335361351, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Marlboro Family Eye Care, Inc.

  • Optometrist
  • Marlboro, NJ
  • NPI 1194135673
  Medicare reassignment Care Compare group NPD Authorized official
• Ocean Park Optical Inc.

  • Optometrist
  • Far Rockaway, NY
  • NPI 1417150301
  NPD (past) Authorized official
• Bensonhurst Family Vision Corp.

  • Optometrist
  • Brooklyn, NY
  • NPI 1447228333
  NPD (past)
• Bensonhurst Family Vision Corp.

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1659742922
  NPD (past)
• Harooni & Sheindlin MD PC

  • Specialist
  • Brooklyn, NY
  • NPI 1861597510
  NPD (past)
• Medalliance Medical Health Services Inc

  • Clinic/Center
  • Bronx, NY
  • NPI 1558356741
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1063518801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "UNIT 4",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462477",
            "telephone_number": "732-252-6555",
            "fax_number": "732-312-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "UNIT 4",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462477",
            "telephone_number": "732-252-6555",
            "fax_number": "732-312-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSOWSKY",
        "first_name": "JANE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006545",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00584200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02331271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "08204G",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anmol Khadtale, DO
• Alexis Kim, PMHNP-BC
• Sarah E Knapp
• Yan Kosubevsky
• Edward Kozlovsky, D.M.D.
• Ruth D Lax, MSW, LCSW
• Sheethal Manipadaga Laxmi, M.D.
• Michelle Lerman, MS, ED
• Valentina Leverant
• Jun Li, M.D.

• Optometrist in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.