Individual provider Active NPI

Judy Aboushaar, OD

  • Optometrist
  • Rockaway, NJ
National Provider Identifier
1265328470
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00736400 Issued in NJ
Practice address
301 Mount Hope Ave Ste 2002
Rockaway, NJ 07866-2125
Phone
(973) 366-9622
NPI assigned
Jun 16, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00736400 NJ Primary

Addresses

Primary practice location

301 Mount Hope Ave Ste 2002
Rockaway, NJ 07866-2125

Mailing address

107 Pier LN
Fairfield, NJ 07004-2110
Phone (973) 980-2961

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
I20250715002095 NJ Practitioner - Optometry 4688189004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00736400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care Services, P.a. Optometrist CurrentSince Jul 1, 2025 Accepting new patients

Locations

400 Commons Way
Bridgewater, NJ 08807
Phone (908) 218-1029

301 Mount Hope Ave
Ste 2002
Rockaway, NJ 07866
Phone (973) 366-9622

Organizations & group practices 1

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1265328470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PIER LN",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042110",
            "telephone_number": "973-980-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOUNT HOPE AVE STE 2002",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662125",
            "telephone_number": "973-366-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUSHAAR",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00736400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.