Organization Active NPI

Dale Stein and Associates, OD, PC

  • Optometrist
  • Deptford, NJ
National Provider Identifier
1205893765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DALE STEIN AND ASSOCIATES, OD, PC
Practice address
2E5B Deptford Mall
Deptford, NJ 08096-1943
Phone
(856) 384-0388
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dale M Stein, ODNPI 1255318150
Title
Owner
Phone
(856) 772-6331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2E5B Deptford Mall
Deptford, NJ 08096-1943

Mailing address

2E5B Deptford Mall
Deptford, NJ 08096-1943
Phone (856) 384-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050121000076 NJ Part B Supplier - Clinic/Group Practice 0941259543 Receives reassigned benefits from 2 practitioners
Practice locations: Blackwood, NJ

National Provider Directory

National Provider Directory
Tax ID family
Dale Stein and Associates OD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Route 168
Ste 409
Blackwood, NJ 08012
Phone (856) 352-0815

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205893765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2E5B DEPTFORD MALL",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080961943",
            "telephone_number": "856-384-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2E5B DEPTFORD MALL",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080961943",
            "telephone_number": "856-384-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE STEIN AND ASSOCIATES, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-772-6331",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.