Individual provider Active NPI

Jessie Orlando Cunas, OD

  • Optometrist
  • Springfield, NJ
National Provider Identifier
1205287166
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00666400 Issued in NJ
Practice address
55 Route 22
Suite D
Springfield, NJ 07081-3128
Phone
(973) 376-5555
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00666400 NJ Primary

Addresses

Primary practice location

55 Route 22
Suite D
Springfield, NJ 07081-3128

Mailing address

310 1St Ave W
Apt 2
Newark, NJ 07107-1350
Phone (973) 489-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170216002737 NJ Practitioner - Optometry 9234412289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Eye Group, Inc.Group PAC ID 9436373768, 2 clinicians

Practice addresses (Care Compare)

55 US Hwy 22 E
Suite D
Springfield, NJ 07081-3128
Phone (973) 376-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00666400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Eye Group, Inc. Optometrist CurrentSince Dec 5, 2016 Accepting new patients

Locations

55 Route 22
Springfield, NJ 07081
Phone (973) 376-5555

55 US Highway 22 E
Ste D
Springfield, NJ 07081
Phone (973) 376-5555

1508 Willowbrook Mall
Wayne, NJ 07470
Phone (973) 256-0060

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1205287166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 1ST AVE W",
            "address_2": "APT 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071350",
            "telephone_number": "973-489-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROUTE 22",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813128",
            "telephone_number": "973-376-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNAS",
        "first_name": "JESSIE",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00666400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.