Jennine Dorse, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00662800 Issued in NJ

Practice address

4-14 Saddle River Rd
Fair Lawn, NJ 07410-5632

Phone

(215) 360-7198

NPI assigned

Aug 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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.

• Home Vision Group LLC

  • Optometrist
  • Fair Lawn, NJ
  • NPI 1609067230
  Medicare reassignment NPD
• Resident Eye Care Associates, LLC

  • Optometrist
  • Fair Lawn, NJ
  • NPI 1508883307
  Medicare reassignment NPD

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1104292747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105632",
            "telephone_number": "215-360-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105632",
            "telephone_number": "215-360-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSE",
        "first_name": "JENNINE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00662800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S Dolgin, MD
• Paige Dommenge, RN
• Donald H Kutner DO LLC
• Luiza Donkina, MD
• Melissa Grace Donohue, LSW
• Dr Ramin B Cocoziello MD PC
• Dr Robert Kahn
• Dr. Arnold a. Sperling
• Dr. Christina Checinski PC
• Dr. Jarret B. Drucker Podiatry PC

• Optometrist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.