Active NPI
Richard M. Goldrosen, OD
- Eyewear Supplier
- Elizabeth, NJ
National Provider Identifier
1164607990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- RICHARD M. GOLDROSEN, OD
- Practice address
- 944 Elizabeth Ave
Elizabeth, NJ 07201-2646 - Phone
- (908) 352-7524
- NPI assigned
- Dec 28, 2007
- Last updated
- Mar 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard M Goldrosen, O.D.
- Title
- President
- Phone
- (908) 352-7524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NJ | Primary |
Addresses
Primary practice location
944 Elizabeth Ave
Elizabeth, NJ 07201-2646
Mailing address
944 Elizabeth Ave
Elizabeth, NJ 07201-2646
Phone (908) 352-7524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1403109 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
944 Elizabeth Ave
Elizabeth, NJ 07201
Phone (908) 352-7524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1164607990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 ELIZABETH AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012646",
"telephone_number": "908-352-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 ELIZABETH AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012646",
"telephone_number": "908-352-7524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD M. GOLDROSEN, OD",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "GOLDROSEN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-352-7524",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1403109",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.