Individual provider Active NPI

Yolanda Czerniawski, O.D.

  • Optometrist
  • West Orange, NJ
National Provider Identifier
1083609382
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5420 Issued in NJ
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

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2 clinicians

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

LicenseStateTypeSpecialty
5420NJMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Family Eye Care, LLC Optometrist CurrentSince Feb 4, 2012 Accepting new patients
Eye Exam Plus Optometrist CurrentSince Jul 14, 2014 Accepting new patients
Schultz Eye Associates, PC Optometrist PastSince Dec 28, 1998 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.

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

Verify at the official NPI Registry.