Organization Active NPI

Richard M. Goldrosen, OD

  • Eyewear Supplier
  • Elizabeth, NJ
National Provider Identifier
1164607990
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1403109MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.