Organization Active NPI

Peter J Cetta

  • Optician
  • Randolph, NJ
National Provider Identifier
1164600664
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
31TD00215800 Issued in NJ
Legal business name
PETER J CETTA
Doing business as
Freedom Optical
Practice address
10 West Hanover Ave
Freedom Optical
Randolph, NJ 07869-4221
Phone
(973) 895-4600
Fax
(973) 895-4604
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Peter J Cetta, MD
Title
Owner
Phone
(973) 895-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 31TD00215800 NJ Primary

Addresses

Primary practice location

10 West Hanover Ave
Freedom Optical
Randolph, NJ 07869-4221

Mailing address

10 West Hanover Ave
Freedom Optical
Randolph, NJ 07869-4221
Phone (973) 895-4600

Other names 1

  • Freedom Optical Doing business as

National Provider Directory

National Provider Directory

Locations

10 W Hanover Ave
Randolph, NJ 07869
Phone (908) 879-8279

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1164600664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEST HANOVER AVE",
            "address_2": "FREEDOM OPTICAL",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694221",
            "telephone_number": "973-895-4600",
            "fax_number": "973-895-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEST HANOVER AVE",
            "address_2": "FREEDOM OPTICAL",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694221",
            "telephone_number": "973-895-4600",
            "fax_number": "973-895-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J CETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CETTA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-895-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00215800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.