Individual provider Active NPI

Charlene Sun Tseng, OD

  • Optometrist
  • Elizabeth, NJ
National Provider Identifier
1134570443
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008479 Issued in NY
Practice address
230 West Jersey Street
Suite 201
Elizabeth, NJ 07202
Phone
(908) 289-1166
Fax
(908) 352-4752
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008479 NY Primary

Addresses

Primary practice location

230 West Jersey Street
Suite 201
Elizabeth, NJ 07202

Mailing address

230 West Jersey Street
Suite 201
Elizabeth, NJ 07202
Phone (908) 289-1166

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
I20180613000112 NJ Practitioner - Optometry 1456613280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klein and Scannapiego, MD., PAGroup PAC ID 8224023981, 7 clinicians

Practice addresses (Care Compare)

230 W Jersey St
Suite 201
Elizabeth, NJ 07202-1352
Phone (908) 289-1166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33474CAMDChiropractor
008479NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Klein & Scannapiego, MD., PA Optometrist CurrentSince May 24, 2018 Accepting new patients
Paterson Eye Associates Past Accepting new patients
Center for Excellence in Cataract & Eye Surgery PastSince Jan 12, 2025 Accepting new patients

Locations

230 W Jersey St
#2
Elizabeth, NJ 07202

230 W Jersey St
Ste 201
Elizabeth, NJ 07202
Phone (908) 289-1166

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1134570443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WEST JERSEY STREET",
            "address_2": "SUITE 201",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07202",
            "telephone_number": "908-289-1166",
            "fax_number": "908-352-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WEST JERSEY STREET",
            "address_2": "SUITE 201",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07202",
            "telephone_number": "908-289-1166",
            "fax_number": "908-352-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSENG",
        "first_name": "CHARLENE",
        "middle_name": "SUN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.