Organization Active NPI

NJ Eye and Ear LLC

  • Optometrist
  • Clifton, NJ
National Provider Identifier
1154838316
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NJ EYE AND EAR LLC
Practice address
1016 Main Ave Unit 1
Clifton, NJ 07011-2327
Phone
(973) 546-5700
Fax
(800) 878-2811
NPI assigned
Jan 9, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NJ EYE AND EAR, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Anita Krol
Title
Administrative Assistant
Phone
(973) 546-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1016 Main Ave Unit 1
Clifton, NJ 07011-2327

Mailing address

1016 Main Ave Unit 1
Clifton, NJ 07011-2327
Phone (973) 546-5700

Other practice location 1

245 Engle St
Englewood, NJ 07631-2465
Phone (201) 568-0770

Other practice location 2

71 Grand Ave
Englewood, NJ 07631-3531
Phone (101) 408-4441

Other practice location 3

23 West Palisade Avenue
Englewood, NJ 07631
Phone (201) 408-4441

National Provider Directory

National Provider Directory
Part of
NJ Eye and Ear LLC

Locations

1016 Main Ave
Unit 1
Clifton, NJ 07011
Phone (973) 546-5700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1154838316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 MAIN AVE UNIT 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112327",
            "telephone_number": "973-546-5700",
            "fax_number": "800-878-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MAIN AVE UNIT 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112327",
            "telephone_number": "973-546-5700",
            "fax_number": "800-878-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Engle St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312465",
            "country_code": "US",
            "telephone_number": "201-568-0770",
            "fax_number": "201-568-4233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076313531",
            "country_code": "US",
            "telephone_number": "101-408-4441",
            "fax_number": "201-408-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 WEST PALISADE AVENUE",
            "address_purpose": "LOCATION",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "country_code": "US",
            "telephone_number": "201-408-4441",
            "fax_number": "201-408-4452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ EYE AND EAR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NJ EYE AND EAR, LLC",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KROL",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "973-546-5700"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.