Individual provider Active NPI

Jeffrey P. Sagalow, OD

  • Optometrist
  • Elizabeth, NJ
National Provider Identifier
1326082926
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4747 Issued in NJ
Practice address
520 Westield Ave
106
Elizabeth, NJ 07208-1644
Phone
(908) 351-2020
Fax
(908) 351-2021
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4747 NJ Primary

Addresses

Primary practice location

520 Westield Ave
106
Elizabeth, NJ 07208-1644

Mailing address

520 Westield Ave
106
Elizabeth, NJ 07208-1644
Phone (908) 351-2020

Other identifiers 1

IdentifierTypeStateIssuer
3443701MedicaidNJ

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
I20120208000806 NJ Practitioner - Optometry 2466619184 Practice locations: Elizabeth, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4747NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Excellence in Cataract & Eye Surgery PastSince Jan 12, 2025 Accepting new patients
Klein & Scannapiego, MD., PA Optometrist PastSince Mar 30, 2025 Accepting new patients
Paterson Eye Associates PastSince Aug 10, 2025 Accepting new patients

Organizations & group practices 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1326082926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WESTIELD AVE",
            "address_2": "106",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081644",
            "telephone_number": "908-351-2020",
            "fax_number": "908-351-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WESTIELD AVE",
            "address_2": "106",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081644",
            "telephone_number": "908-351-2020",
            "fax_number": "908-351-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGALOW",
        "first_name": "JEFFREY",
        "middle_name": "P.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3443701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.