Individual provider Active NPI

Mitchell H. Saferstein, OD

  • Optometrist
  • Paramus, NJ
National Provider Identifier
1063522019
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00467700 Issued in NJ
Practice address
275 Forest Ave
Paramus, NJ 07652-5426
Phone
(201) 986-0202
Fax
(201) 976-0977
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00467700 NJ Primary

Addresses

Primary practice location

275 Forest Ave
Paramus, NJ 07652-5426

Mailing address

275 Forest Ave
Paramus, NJ 07652-5426
Phone (201) 986-0202

Other identifiers 1

IdentifierTypeStateIssuer
1974009MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041213000567 NJ Practitioner - Optometry 7416914320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Eyecare Associates PAGroup PAC ID 3173589645, 6 clinicians

Practice addresses (Care Compare)

275 Forest Ave
Suite 115
Paramus, NJ 07652-5410
Phone (201) 986-0202

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00467700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare One LLC Optometrist Past Accepting new patients
Dr. Alan Ross OD PA Past Accepting new patients
Esther Huang OD PA Optometrist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1063522019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525426",
            "telephone_number": "201-986-0202",
            "fax_number": "201-976-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525426",
            "telephone_number": "201-986-0202",
            "fax_number": "201-976-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFERSTEIN",
        "first_name": "MITCHELL",
        "middle_name": "H.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00467700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1974009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.