Active NPI
Marjorie E Jenkins, OD
- Optometrist
- Union, NJ
National Provider Identifier
1144874256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00690900
- Practice address
- 2401 US Highway 22 W Ste P
Union, NJ 07083-8519 - Phone
- (908) 378-1821
- NPI assigned
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OM00158400 | NJ | |
| Optometrist | 152W00000X | 27OA00690900 | NJ | Primary |
Addresses
Primary practice location
2401 US Highway 22 W Ste P
Union, NJ 07083-8519
Mailing address
2401 US Highway 22 W Ste P
Union, NJ 07083-8519
Phone (908) 378-1821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20251027000047 | FL | Practitioner - Optometry | 2365931870 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
244 Millet Cir
Cantonment, FL 32533-7889
3312 Hudson Ave
Apt 8L
Union City, NJ 07087-5946
3312 Hudson Ave
Apt 8L
Union City, NJ 07087-5969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00690900 | NJ | MD | Optometrist |
| 27OM00158400 | NJ | MD | Optometrist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendly Eyes Optometry LLC | Current | Accepting new patients |
Locations
1808 W International Speedway Blvd
Ste 502
Daytona Beach, FL 32114
Phone (386) 255-1541
Networks
- Freedom Health HMO Network
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1144874256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 US HIGHWAY 22 W STE P",
"city": "UNION",
"state": "NJ",
"postal_code": "070838519",
"telephone_number": "908-378-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 US HIGHWAY 22 W STE P",
"city": "UNION",
"state": "NJ",
"postal_code": "070838519",
"telephone_number": "908-378-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MARJORIE",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OM00158400",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00690900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.