Individual provider Active NPI

Janna L. Teytel, O.D.

  • Vision Therapy Optometrist
  • Summit, NJ
National Provider Identifier
1235260134
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
27OA00596600 Issued in NY
Practice address
52 Deforest Ave
Summit, NJ 07901-1930
Phone
(908) 277-3116
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 27OA00596600 NY Primary

Addresses

Primary practice location

52 Deforest Ave
Summit, NJ 07901-1930

Mailing address

75 Chestnut St
Livingston, NJ 07039-5514
Phone (973) 597-0959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040511000523 NY Practitioner - Optometry 7517956931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00596600NYMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Jul 2, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 2, 2023 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
State of New York Comptrollers Office Past Accepting new patients
State of New York Comptrollers Office Vision Therapy Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Ste 1166
New York, NY 10002
Phone (212) 238-7815

165 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 616-0999

Interoperability endpoints

  • Direct secure messaging: jteytel3567308@nychhc.direct-ci.com

Organizations & group practices 6

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235260134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CHESTNUT ST",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395514",
            "telephone_number": "973-597-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 DEFOREST AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011930",
            "telephone_number": "908-277-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEYTEL",
        "first_name": "JANNA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "27OA00596600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.