Individual provider Active NPI

Judith M. Skinner, OD

  • Optometrist
  • Clifton, NJ
National Provider Identifier
1235359415
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00608300 Issued in NJ
Practice address
251 Clifton Ave
Eye DRX
Clifton, NJ 07011-1961
Phone
(973) 340-2300
Fax
(973) 349-2306
NPI assigned
Apr 27, 2007
Last updated
May 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00608300 NJ Primary

Addresses

Primary practice location

251 Clifton Ave
Eye DRX
Clifton, NJ 07011-1961

Mailing address

11103 West Avenue
Suite 6
San Antonio, TX 78213
Phone (210) 524-6509

Other names 1

  • Judith Mariela Del Pino Guerra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070720000602 NJ Practitioner - Optometry 5395846323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles M Cummins, OD, PAGroup PAC ID 0446246995, 24 clinicians

Practice addresses (Care Compare)

588 Route 70
Suite 9
Brick, NJ 08723-4023
Phone (732) 864-0755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00608300NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M Cummins, OD, PA Optometrist CurrentSince Jun 3, 2017 Accepting new patients
Charles M. Cummins, OD, PA Optometrist CurrentSince Jun 3, 2017 Accepting new patients
Charles M. Cummins, OD., PA Optometrist Current Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

641 Shunpike Rd
Chatham Twp, NJ 07928
Phone (201) 377-5566

251 Clifton Ave
Clifton, NJ 07011
Phone (973) 340-2300

500 Route 23
Ste 7
Pompton Plains, NJ 07444
Phone (973) 616-7171

426 Raritan St
Sayreville, NJ 08872
Phone (908) 727-2200

255 US Highway 46
Totowa, NJ 07512
Phone (973) 785-8000

11103 West Ave
Ste 6
San Antonio, TX 78213

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1235359415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVENUE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78213",
            "telephone_number": "210-524-6509",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CLIFTON AVE",
            "address_2": "EYE DRX",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111961",
            "telephone_number": "973-340-2300",
            "fax_number": "973-349-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JUDITH",
        "middle_name": "M.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00608300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "DEL PINO GUERRA",
            "middle_name": "MARIELA",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.