Niki Patellis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00520400 Issued in NJ

Practice address

25 Kinnelon Rd
Kinnelon, NJ 07405-2337

Phone

(973) 838-8190

Fax

(973) 838-3230

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optika Eyecare, Inc.Group PAC ID 6901872217, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Optika Eyecare, Inc.

  dba Kinnelon Eyecare

  • Optometrist
  • Kinnelon, NJ
  • NPI 1609934207
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1083818785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KINNELON RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052337",
            "telephone_number": "973-838-8190",
            "fax_number": "973-838-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KINNELON RD",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052337",
            "telephone_number": "973-838-8190",
            "fax_number": "973-838-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATELLIS",
        "first_name": "NIKI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00520400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K5690",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00201344",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosanne Parente, RNFA
• Jenna Park, NCC LPC LPAT ATR-BC
• Shane Park, MS, RD
• Setu J Patel, PHARM.D.
• Yasheshbhai P Patel, PHARM.D.
• Pathmark Stores Inc (Pathmark Pharmacy)
• Katherine Pawlikowski
• PC Medical Solutions LLC
• Otilio Pena
• Percival a Caballero MD PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.