Sapna Shukla, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00700400 Issued in NJ

Practice address

1 N Washington Ave
Bergenfield, NJ 07621-2125

Phone

(201) 384-7333

Fax

(201) 384-9915

NPI assigned

Dec 11, 2019

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sshukla@njeyecenter.intellechartdirect.net

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.

• New Jersey Eye Center, P.a.

  • Optometrist
  • Bergenfield, NJ
  • NPI 1235155615
  Medicare reassignment NPD
• New Jersey Eye Center, P.a.

  • Ambulatory Surgical Clinic/Center
  • Bergenfield, NJ
  • NPI 1235234055
  NPD

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1144868001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-384-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-384-7333",
            "fax_number": "201-384-9915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Graham Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112064212",
            "country_code": "US",
            "telephone_number": "405-887-7868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "177 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070555150",
            "country_code": "US",
            "telephone_number": "973-777-4343",
            "fax_number": "973-777-0536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "734 Green St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Iselin",
            "state": "NJ",
            "postal_code": "088302993",
            "country_code": "US",
            "telephone_number": "201-384-7333",
            "fax_number": "201-384-9915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 S Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074522820",
            "country_code": "US",
            "telephone_number": "201-444-8277",
            "fax_number": "201-384-3231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "SAPNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009033",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00700400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sappatel90@gmail.com",
            "affiliation": "N",
            "address_1": "28 Graham Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112064212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Optometrist in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.