Frank Derienzo, OD

Primary specialty

Occupational Vision OptometristTaxonomy code 152WX0102X

License

27OA000470600 Issued in NJ

Practice address

123 River Drive
Jersey City, NJ 07310-1615

Phone

(201) 222-3937

Fax

(201) 798-6021

NPI assigned

May 12, 2006

Last updated

Apr 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Staten Island Vision Eye Care LLCGroup PAC ID 7315200599, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Staten Island Vision Eye Care, LLC

  • Optometrist
  • Staten Island, NY
  • NPI 1033646880
  Medicare reassignment Care Compare group
• Jersey Garden's Optometry P.C.

  • Optometrist
  • Elizabeth, NJ
  • NPI 1386877785
  Medicare reassignment NPD
• Meyerienzo Eyecare PA

  • Optometrist
  • Jersey City, NJ
  • NPI 1215159702
  Authorized official Same address or phone
• NBD Eyecare

  • Optometrist
  • Jersey City, NJ
  • NPI 1568155646
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1215987888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 RIVER DRIVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101615",
            "telephone_number": "201-222-3937",
            "fax_number": "201-798-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 RIVER DRIVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101615",
            "telephone_number": "201-222-3937",
            "fax_number": "201-798-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIENZO",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004989",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NJ",
            "license": "27OA000470600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04001052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zenaida Deocera, MD
• Gabriel Deoliveira, DO
• Koshani Deonarine
• Jonathan Derado, LSW
• Ashley Derdzikowski, LAC
• Khalid Sky Dermoumi
• Jurxhin Derraj, DO
• Aneri Desai, DO
• Anish Desai, MD
• Hinal Desai

• Optometrist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.