Paul J Vaccarella, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00512900 Issued in NJ

Practice address

301 Mount Hope Ave
Suite 2002
Rockaway, NJ 07866-2130

Phone

(973) 366-9622

NPI assigned

Jun 26, 2006

Sex

Male

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 NJ, NY2 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

Specialty

Optometry

Education

New England College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eye Care Services, P.a.Group PAC ID 0345201943, 5 clinicians

Practice addresses (Care Compare)

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.

• Family Eye Care Services, P.a.

  • Optometrist
  • Rockaway, NJ
  • NPI 1245271204
  Medicare reassignment Care Compare group NPD Authorized official
• Long Island Vision and Contact Lens Services, Inc.

  • Optometrist
  • Huntington Station, NY
  • NPI 1134892763
  Medicare reassignment NPD Authorized official
• Family Eyecare Consultants, P.a.

  • Optometrist
  • Wayne, NJ
  • NPI 1467489591
  NPD (past) Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260576000000",
    "number": "1073540126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SHADOW HILL WAY",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405672",
            "telephone_number": "908-979-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOUNT HOPE AVE",
            "address_2": "SUITE 2002",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662130",
            "telephone_number": "973-366-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARELLA",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00512900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Township of Rockaway
• Tasha Loretta-Emma Trudeau, RD
• Sharon W Turley, MSW,LSW
• Teresa Jadwiga Uecker, M.S., LPC
• Universal Hearing LLC (Miracle Ear)
• Dimpy Vadalia
• Patricia Cecilia Vadillo, OTR/L
• Amy K Van Bebber, LSW
• Kunal Vani
• Bryan Vasquez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2009; 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.