Individual provider Active NPI

Steven Anthony Cipparone, O.D.

  • Optometrist
  • Turnersville, NJ
National Provider Identifier
1285741454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO00919 Issued in NJ
Practice address
3501 Route 42
Turnersville, NJ 08012-1752
Phone
(856) 629-4207
Fax
(856) 629-4261
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA005489 NJ
Optometrist 152W00000X OEG000338 PA
Optometrist 152W00000X TO00919 NJ Primary

Addresses

Primary practice location

3501 Route 42
Turnersville, NJ 08012-1752

Mailing address

111 Preakness Dr
Mullica Hill, NJ 08062-3603
Phone (856) 906-6079

Other identifiers 9

IdentifierTypeStateIssuer
14014OtherNJSPECTERA
397536OtherPANVA
2638937OtherNJAETNA
118218OtherNJEYEMED
2637159OtherPAAETNA
311368OtherNJNVA
378344OtherNJBC/BS
1338709OtherPABC/BS
8997403MedicaidNJ

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
I20031104000257 NJ Practitioner - Optometry 0547172918 Practice locations: Deptford, NJ; Turnersville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Clements Bridge Rd
Suite 100
Deptford, NJ 08096-2016
Phone (856) 384-1993

3501 Route 42
Suite 1000
Turnersville, NJ 08012-1752
Phone (856) 629-4207

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA005489NJMDOptometrist
TO00919NJMDOptometrist
OEG000338PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cipparone Eye Associates, LLC Optometrist PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285741454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PREAKNESS DR",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080623603",
            "telephone_number": "856-906-6079",
            "fax_number": "856-629-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 ROUTE 42",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121752",
            "telephone_number": "856-629-4207",
            "fax_number": "856-629-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPPARONE",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA005489",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000338",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "TO00919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "14014",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "397536",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2638937",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "118218",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2637159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "311368",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "378344",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1338709",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.