Active NPI
JG Optical Inc.
- Optician
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- TD3340
- Legal business name
- JG OPTICAL INC.
- Practice address
- 108 Broughton Ave
Bloomfield, NJ 07003 - Phone
- (973) 743-1353
- Fax
- (973) 743-6577
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Gould, D.O.
- Title
- President
- Phone
- (973) 743-1353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | TD3340 | NJ | Primary |
Addresses
Primary practice location
108 Broughton Ave
Bloomfield, NJ 07003
Mailing address
108 Broughton Ave
Bloomfield, NJ 07003-3989
Phone (973) 743-1353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300090701 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930088578 | NJ | DME Supplier - Optician | 9537286505 | Practice locations: Bloomfield, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| JG Optical Inc. | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- JG Optical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Verona, NJ
- NPI 1598509879
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Optician
- Verona, NJ
- NPI 1598509879
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bloomfield, NJ
- NPI 1043238876
-
- Ophthalmology Physician
- Bloomfield, NJ
- NPI 1043674229
-
- Ophthalmology Physician
- Bloomfield, NJ
- NPI 1386600823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1083780175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BROUGHTON AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033989",
"telephone_number": "973-743-1353",
"fax_number": "973-743-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BROUGHTON AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-743-1353",
"fax_number": "973-743-6577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JG OPTICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "GOULD",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-743-1353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "TD3340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300090701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.