Active NPI
Riccardo Pascetta
- Eyewear Supplier
- Teaneck, NJ
National Provider Identifier
1215057930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- TDO1673
- Practice address
- 751 Teaneck Rd
Teaneck, NJ 07666-4242 - Phone
- (201) 837-5599
- Fax
- (201) 833-9238
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | TDO1673 | NJ | Primary |
Addresses
Primary practice location
751 Teaneck Rd
Teaneck, NJ 07666-4242
Mailing address
751 Teaneck Rd
Teaneck, NJ 07666-4242
Phone (201) 837-5599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TDO1673 | NJ | MD | Eyewear Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215057930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664242",
"telephone_number": "201-837-5599",
"fax_number": "201-833-9238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664242",
"telephone_number": "201-837-5599",
"fax_number": "201-833-9238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCETTA",
"first_name": "RICCARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NJ",
"license": "TDO1673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.