Active NPI
Majedah Fayed, OPTICIAN
- Optician
- Clifton, NJ
National Provider Identifier
1093249559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 31TD00382101
- Practice address
- 1135 Main Ave FL 1
Clifton, NJ 07011-2353 - Phone
- (973) 685-7280
- NPI assigned
- Apr 11, 2017
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 31TD00382101 | NJ | Primary |
Addresses
Primary practice location
1135 Main Ave FL 1
Clifton, NJ 07011-2353
Mailing address
1135 Main Ave FL 1
Clifton, NJ 07011-2353
Phone (973) 420-3784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31TD00382101 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1093249559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 MAIN AVE FL 1",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112353",
"telephone_number": "973-420-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 MAIN AVE FL 1",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112353",
"telephone_number": "973-685-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAYED",
"first_name": "MAJEDAH",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "31TD00382101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.