Active NPI
Arnold D Craft, O.D.
- Optometrist
- Elmwood Park, NJ
National Provider Identifier
1104993203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00467200
- Practice address
- 201A Market St
Elmwood Park, NJ 07407-1405 - Phone
- (201) 796-0030
- Fax
- (201) 796-3448
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- 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 | 27OA00467200 | NJ | Primary |
Addresses
Primary practice location
201A Market St
Elmwood Park, NJ 07407-1405
Mailing address
62 George Russell Way
Clifton, NJ 07013-2655
Phone (973) 688-8145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4812506 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000480 | NJ | Practitioner - Optometry | 7214196096 | Practice locations: Elmwood Park, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
201 A Market St
Elmwood Park, NJ 07407-1405
Phone (201) 796-0030
201 Market St a
Elmwood Park, NJ 07407-1405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00467200 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1104993203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 GEORGE RUSSELL WAY",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132655",
"telephone_number": "973-688-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201A MARKET ST",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074071405",
"telephone_number": "201-796-0030",
"fax_number": "201-796-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFT",
"first_name": "ARNOLD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00467200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4812506",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.