Individual provider Active NPI

Donald G Trischetta, OPTICIAN

  • Optician
  • Clifton, NJ
National Provider Identifier
1295997765
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
31TD00123700 Issued in NJ
Practice address
64 1/2 Market St
Clifton, NJ 07012-2404
Phone
(973) 473-1500
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 31TD00123700 NJ Primary

Addresses

Primary practice location

64 1/2 Market St
Clifton, NJ 07012-2404

Mailing address

64 1/2 Market St
Clifton, NJ 07012-2404
Phone (973) 473-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31TD00123700NJMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
DT Enterprises Past 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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1295997765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 1/2 MARKET ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122404",
            "telephone_number": "973-473-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 1/2 MARKET ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122404",
            "telephone_number": "973-473-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRISCHETTA",
        "first_name": "DONALD",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00123700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.