Terrylee Maimone O.D, P.C

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00490500 Issued in NJ

Legal business name

TERRYLEE MAIMONE O.D, P.C

Practice address

32-01 Broadway
Fair Lawn, NJ 07410-4616

Phone

(201) 703-2922

Fax

(201) 791-6626

NPI assigned

Jun 28, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terrylee Maimone, O.D

Title

Owner

Phone

(201) 703-2922

Specialties & licenses 2

Addresses

Other identifiers 10

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jolie Nickel, O.D.

  • Optometrist
  • Clifton, NJ
  • NPI 1841543170
  NPD (past)
• Shoshana Pinsky, O.D.

  • Optometrist
  • Clifton, NJ
  • NPI 1780960971
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1245437755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-01 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104616",
            "telephone_number": "201-703-2922",
            "fax_number": "201-791-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-01 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104616",
            "telephone_number": "201-703-2922",
            "fax_number": "201-791-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRYLEE MAIMONE O.D, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MAIMONE",
        "authorized_official_first_name": "TERRYLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-703-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00490500",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27TO00040600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2099723",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2319156",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5452503",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "C228E1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2865102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4495272",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "518967",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K3806",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHN",
            "identifier": "177820",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6018700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Te(a)CH Developmental and Behavioral Supports
• Emily Tedeschi, SLP
• Joann Telesh, LAC
• Victoria Tenenbaum, BCBA
• David Teplitsky, DC
• The Arc of Bergen and Passaic Counties, Inc
• The Arc of Bergen and Passaic Counties, Inc.
• The Art of Eyewear II,Inc
• The Chrysalis Group, LLC
• The Club of Bergen County

• Optometrist in Fair Lawn, NJ
• Providers in Fair Lawn, 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 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.