Active NPI
Joel Schindel, OD
- Optometrist
- Teaneck, NJ
National Provider Identifier
1114061579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27TO00032600
- Practice address
- 360 Johnson Ave
Teaneck, NJ 07666-3151 - Phone
- (201) 836-6229
- Fax
- (201) 836-5182
- NPI assigned
- Feb 19, 2007
- 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 | 27TO00032600 | NJ | Primary |
Addresses
Primary practice location
360 Johnson Ave
Teaneck, NJ 07666-3151
Mailing address
360 Johnson Ave
Teaneck, NJ 07666-3151
Phone (201) 836-6229
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0458755 | Other | AETNA | |
| 410009398 | Other | RAIL ROAD MEDICARE | |
| P84529 | Other | OXFORD | |
| C31731 | Other | EMPIRE | |
| 1653407 | 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 |
|---|---|---|---|---|
| I20101206000211 | NJ | Practitioner - Optometry | 6002003951 | Practice locations: Teaneck, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
360 Johnson Ave
Teaneck, NJ 07666-3151
Phone (201) 836-6229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27TO00032600 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114061579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 JOHNSON AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663151",
"telephone_number": "201-836-6229",
"fax_number": "201-836-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 JOHNSON AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663151",
"telephone_number": "201-836-6229",
"fax_number": "201-836-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHINDEL",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27TO00032600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0458755",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "410009398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P84529",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "C31731",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1653407",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.