Active NPI
Bonel Optical
- Optician
- Union, NJ
National Provider Identifier
1194940270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 31TD00092600
- Legal business name
- BONEL OPTICAL
- Practice address
- 1745 Morris Ave
Union, NJ 07083 - Phone
- (908) 687-7878
- NPI assigned
- Apr 16, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. Aldo Diminich
- Title
- President
- Phone
- (908) 687-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 31TD00092600 | NJ | Primary |
Addresses
Primary practice location
1745 Morris Ave
Union, NJ 07083
Mailing address
1745 Morris Ave
Union, NJ 07083
Phone (908) 687-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5367808 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194940270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 MORRIS AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "07083",
"telephone_number": "908-687-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 MORRIS AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "07083",
"telephone_number": "908-687-7878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONEL OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DIMINICH",
"authorized_official_first_name": "ALDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-687-7878",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "31TD00092600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5367808",
"state": "NJ"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.