Active NPI
Robin Kahwaty, OD
- Optometrist
- Wayne, NJ
National Provider Identifier
1104983121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00524000
- Practice address
- 77 Willowbrook Blvd
Wayne, NJ 07470-7055 - Phone
- (973) 890-2772
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00524000 | NJ | Primary |
Addresses
Primary practice location
77 Willowbrook Blvd
Wayne, NJ 07470-7055
Mailing address
102 Konner Ave
Pine Brook, NJ 07058-9524
Phone (973) 890-2772
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1104983121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 KONNER AVE",
"city": "PINE BROOK",
"state": "NJ",
"postal_code": "070589524",
"telephone_number": "973-890-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 WILLOWBROOK BLVD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707055",
"telephone_number": "973-890-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHWATY",
"first_name": "ROBIN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00524000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.