Active NPI
Marie Carole Haydu, OD
- Optometrist
- Chatham, NJ
National Provider Identifier
1073621496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 270A00356300
- Practice address
- 414 Main Street
Chatham, NJ 07928 - Phone
- (973) 635-3534
- Fax
- (973) 635-4828
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00356300 | NJ | Primary |
Addresses
Primary practice location
414 Main Street
Chatham, NJ 07928
Mailing address
414 Main Street
Chatham, NJ 07928
Phone (973) 635-3534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 14, 2016 through Sep 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00356300 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073621496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 MAIN STREET",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "07928",
"telephone_number": "973-635-3534",
"fax_number": "973-635-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 MAIN STREET",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "07928",
"telephone_number": "973-635-3534",
"fax_number": "973-635-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDU",
"first_name": "MARIE",
"middle_name": "CAROLE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00356300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.