Nathan T Dedeo and Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00600100 Issued in NJ

Legal business name

NATHAN T DEDEO AND ASSOCIATES INC

Practice address

112 Eisenhower Pkwy
Suite 2020
Livingston, NJ 07039-4995

Phone

(973) 535-1171

Fax

(973) 535-9440

NPI assigned

Feb 8, 2011

Last updated

Mar 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan T. Dedeo, OD

Title

Owner

Phone

(917) 670-9511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1336445386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HUNT PL",
            "address_2": "1ST FLOOR",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103709",
            "telephone_number": "973-535-1171",
            "fax_number": "973-535-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EISENHOWER PKWY",
            "address_2": "SUITE 2020",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394995",
            "telephone_number": "973-535-1171",
            "fax_number": "973-535-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN T DEDEO AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "DEDEO",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-670-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00600100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Livingston, NJ
• Providers in Livingston, 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 2, 2011; 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.