Individual provider Active NPI

Urvi Patel, OD

  • Optometrist
  • Westwood, NJ
National Provider Identifier
1265039259
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00700700 Issued in NJ
Practice address
55 Westwood Ave
Westwood, NJ 07675-1713
Phone
(201) 722-2222
NPI assigned
Oct 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00700700 NJ Primary

Addresses

Primary practice location

55 Westwood Ave
Westwood, NJ 07675-1713

Mailing address

55 Westwood Ave
Westwood, NJ 07675-1713

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
I20201008000713 NJ Practitioner - Optometry 7416376603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Specialties Support of NJ PCGroup PAC ID 6800309287, 25 clinicians

Practice addresses (Care Compare)

373 Clinton Ave
Wyckoff, NJ 07481-1970
Phone (201) 891-2772

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00700700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Aversa OD PA Optometrist CurrentSince Jun 30, 2021 Accepting new patients
James Aversa OD PA Optometrist CurrentSince Jun 30, 2021 Accepting new patients
Eyecare Specialties Support of NJ PC Optometrist CurrentSince Jun 10, 2025 Accepting new patients
Dr. Paul Shahinian, LLC Optometrist CurrentSince Sep 28, 2020 Accepting new patients
Junior Eagle Corporation PastSince Sep 28, 2020 Accepting new patients

Locations

104 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 461-0010

227 Boulevard
Hasbrouck Heights, NJ 07604
Phone (201) 288-1109

1100 Centennial Ave
Ste 204
Piscataway, NJ 08854
Phone (732) 313-2570

373 Clinton Ave
Wyckoff, NJ 07481
Phone (201) 891-2772

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

Organizations & group practices 5

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": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1265039259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WESTWOOD AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WESTWOOD AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751713",
            "telephone_number": "201-722-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "URVI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00700700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.