Individual provider Active NPI

Elizabeth Suarez-Garita, O.D

  • Optometrist
  • North Bergen, NJ
National Provider Identifier
1124107370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00537800 Issued in NJ
Practice address
7418 Bergenline Ave
North Bergen, NJ 07047-5449
Phone
(201) 868-1886
Fax
(201) 868-7392
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 27OA00537800 NJ Primary

Addresses

Primary practice location

7418 Bergenline Ave
North Bergen, NJ 07047-5449

Mailing address

7418 Bergenline Ave
PO Box 9118
North Bergen, NJ 07047-5449
Phone (201) 868-1886

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
I20061201000339 NJ Practitioner - Optometry 9436157393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garita Vision Center, LLCGroup PAC ID 7214936947, 2 clinicians

Practice addresses (Care Compare)

7418 Bergenline Ave
North Bergen, NJ 07047-5449
Phone (201) 868-1886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00537800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Garita Vision Center, LLC Optometrist CurrentSince Oct 3, 2006 Accepting new patients

Locations

7418 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 868-1886

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124107370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 BERGENLINE AVE",
            "address_2": "PO BOX 9118",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475449",
            "telephone_number": "201-868-1886",
            "fax_number": "201-868-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475449",
            "telephone_number": "201-868-1886",
            "fax_number": "201-868-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ-GARITA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00537800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.