Deo Ny Retail 1 LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DEO NY RETAIL 1 LLC

Doing business as

Jersey Garden S Mall
deo eyewear

Practice address

651 Kapkowski Rd
Elizabeth, NJ 07201-4901

Phone

(917) 520-6007

NPI assigned

Oct 7, 2020

Last updated

Apr 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Cohen

Title

Ceo - Owner

Phone

(347) 844-1433

Specialties & licenses 1

Addresses

Other names 2

• JERSEY GARDEN S MALL Doing business as
• deo eyewear Doing business as

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1205433711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232946",
            "telephone_number": "917-520-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 KAPKOWSKI RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014901",
            "telephone_number": "917-520-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEO NY RETAIL 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO - OWNER",
        "authorized_official_telephone_number": "347-844-1433"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JERSEY GARDEN S MALL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "deo eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delta Community Supports, Inc.
• Deluxe RX Pharmacy Corporation
• Junide Denestant
• Dennis Bruder Odpa
• Deo Brands LLC (DEO NY Retail 1, LLC)
• Asia Depas
• Lisa M Derr, D.O.
• Carla Dersarkissian, D.D.S., M.S.
• Nemish Jay Desai, DDS
• Sangeeta Sachinkumar Desai, PHYSICAL THERAPIST

• Eyewear Supplier in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.