Active NPI
Mark Needleman, O.D.
- Optometrist
- Westfield, NJ
National Provider Identifier
1265585475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00429500
- Practice address
- 6 Genesee TRL
Westfield, NJ 07090-2706 - Phone
- (908) 389-0911
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00429500 | NJ | Primary |
Addresses
Primary practice location
6 Genesee TRL
Westfield, NJ 07090-2706
Mailing address
6 Genesee TRL
Westfield, NJ 07090-2706
Phone (908) 389-0911
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050609000042 | NJ | Practitioner - Optometry | 8527001668 | Practice locations: Freehold, NJ; Woodbridge, NJ; Westfield, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1265585475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GENESEE TRL",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902706",
"telephone_number": "908-389-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GENESEE TRL",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902706",
"telephone_number": "908-389-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEDLEMAN",
"first_name": "MARK",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00429500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.