Active NPI
Deo Brands LLC
- Eyewear Supplier
- Elizabeth, NJ
National Provider Identifier
1285218537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DEO BRANDS LLC
- Practice address
- 651 Kapkowski Rd
Elizabeth, NJ 07201-4901 - Phone
- (347) 844-1433
- NPI assigned
- May 11, 2021
- Organization subpart
- Yes
- Parent organization
- DEO BRANDS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc Cohen
- Title
- Ceo -Owner
- Phone
- (347) 844-1437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
651 Kapkowski Rd
Elizabeth, NJ 07201-4901
Mailing address
7 Jerome Ave
Deal, NJ 07723-1305
Phone (347) 844-1433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Other | NJ | STORE NAME & LOCATION |
Other names 1
- DEO NY Retail 1, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Deo Brands LLC
- Part of
- Deo Brands LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Paramus, NJ
- NPI 1730859166
-
- Eyewear Supplier
- Brooklyn, NY
- NPI 1841871357
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Paramus, NJ
- NPI 1730859166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620691200000",
"number": "1285218537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 JEROME AVE",
"city": "DEAL",
"state": "NJ",
"postal_code": "077231305",
"telephone_number": "347-844-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 KAPKOWSKI RD",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072014901",
"telephone_number": "347-844-1433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEO BRANDS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEO BRANDS LLC",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-04-16",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "CEO -OWNER",
"authorized_official_telephone_number": "347-844-1437"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STORE NAME & LOCATION",
"identifier": "1",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DEO NY Retail 1, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.