Individual provider Active NPI

Joel Schindel, OD

  • Optometrist
  • Teaneck, NJ
National Provider Identifier
1114061579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27TO00032600 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0458755OtherAETNA
410009398OtherRAIL ROAD MEDICARE
P84529OtherOXFORD
C31731OtherEMPIRE
1653407MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
27TO00032600NJMDOptometrist

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

Verify at the official NPI Registry.