Active NPI
Yolanda Czerniawski, O.D.
- Optometrist
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5420
- Practice address
- 735 Northfield Ave
West Orange, NJ 07052-1103 - Phone
- (973) 736-8600
- NPI assigned
- Sep 13, 2005
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5420 | NJ | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 5420 | NJ | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 5420 | NJ | |
| Pediatric Optometrist | 152WP0200X | 5420 | NJ | |
| Sports Vision Optometrist | 152WS0006X | 5420 | NJ | |
| Vision Therapy Optometrist | 152WV0400X | 5420 | NJ | |
| Occupational Vision Optometrist | 152WX0102X | 5420 | NJ |
Addresses
Primary practice location
735 Northfield Ave
West Orange, NJ 07052-1103
Mailing address
735 Northfield Ave
West Orange, NJ 07052-1103
Phone (973) 736-8600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040816000387 | NJ | Practitioner - Optometry | 7113990482 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Eye Exam Plus
Practice addresses (Care Compare)
40 International Dr S
Flanders, NJ 07836-4106
Phone (201) 869-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5420 | NJ | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schultz Family Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Eye Exam Plus | Optometrist | Current | Accepting new patients |
| Schultz Eye Associates, PC | Optometrist | Past | Accepting new patients |
Locations
40 International Dr S
Flanders, NJ 07836
Phone (201) 869-2020
461 State Route 10
Unit A100
Ledgewood, NJ 07852
Phone (973) 252-2423
735 Northfield Ave
West Orange, NJ 07052
Phone (201) 869-2020
Organizations & group practices 3
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.
-
- Optometrist
- West Orange, NJ
- NPI 1003018458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1083609382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 NORTHFIELD AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521103",
"telephone_number": "973-736-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 NORTHFIELD AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521103",
"telephone_number": "973-736-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZERNIAWSKI",
"first_name": "YOLANDA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "5420",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NJ",
"license": "5420",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NJ",
"license": "5420",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NJ",
"license": "5420",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "NJ",
"license": "5420",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NJ",
"license": "5420",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "NJ",
"license": "5420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.