Englewood Eye Associates P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00409000 Issued in NJ

Legal business name

ENGLEWOOD EYE ASSOCIATES P.A.

Practice address

28 East Palisade Avenue
Englewood Eye Associates
Englewood, NJ 07631

Phone

(201) 567-2020

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Ruderman, OD

Title

Optometrist Administrative Presiden

Phone

(201) 567-2020

Specialties & licenses 1

Addresses

Other names 1

• Englewood Eye Associates Doing business as

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1295834240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 EAST PALISADE AVENUE",
            "address_2": "ENGLEWOOD EYE ASSOCIATES",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-567-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 EAST PALISADE AVENUE",
            "address_2": "ENGLEWOOD EYE ASSOCIATES",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-567-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD EYE ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "RUDERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST ADMINISTRATIVE PRESIDEN",
        "authorized_official_telephone_number": "201-567-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00409000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englewood Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Englewood Dental, PA
• Englewood Dentist LLC
• Englewood Dermatology Center
• Englewood Dermatology Center
• Englewood Ear Nose & Throat PC
• Englewood Eye Center, LLC
• Englewood Eye Center, LLC
• Englewood Family Health Center, P.a
• Englewood Healthcare Associates PC
• Englewood Hospital and Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.