JB Royal LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JB ROYAL LLC

Practice address

301 Mount Hope Ave
Rockaway, NJ 07866-2130

Phone

(973) 442-1777

Fax

(973) 442-2777

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By 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. Jacob Bedzrah, ODNPI 1023586179

Title

Dr / Manager

Phone

(973) 901-5042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jacob Bedzrah, OD

  • Optometrist
  • Rockaway, NJ
  • NPI 1023586179
  Authorized official Same address or phone

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1275174476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LONGVIEW ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524857",
            "telephone_number": "973-901-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MOUNT HOPE AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662130",
            "telephone_number": "973-442-1777",
            "fax_number": "973-442-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB ROYAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "BEDZRAH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DR / MANAGER",
        "authorized_official_telephone_number": "973-901-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight - Center for Support Coordination
• Danielle Isenberg, DC
• Chris Isibor
• Rena Jaffe, FNP
• Saila Javed
• Gandimathi Jeyabalan
• Jill Saxon OD LLC
• Kylie Ann Jimenez, FNP-C
• Weimin Jin, DMD
• Ashley Johnson, LSW

• Optometrist in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.