Organization Active NPI

Anthony J Boni OD and Alicia N Dorman OD/PA

  • Optometrist
  • Little Falls, NJ
National Provider Identifier
1346344868
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANTHONY J BONI OD AND ALICIA N DORMAN OD/PA
Practice address
245 Paterson Ave
Little Falls, NJ 07424-1607
Phone
(973) 785-3277
Fax
(973) 812-1723
NPI assigned
Sep 13, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Patricia Cashman
Title
Controller
Phone
(973) 785-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

245 Paterson Ave
Little Falls, NJ 07424-1607

Mailing address

245 Paterson Ave
PO Box 1220
Little Falls, NJ 07424-1607
Phone (973) 785-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040223000915 NJ Part B Supplier - Clinic/Group Practice 7315833829 Receives reassigned benefits from 9 practitioners
Practice locations: Little Falls, NJ; Mountain Lakes, NJ; Saddle Brook, NJ; Woodbridge, NJ; Bridgewater, NJ
O20100930090136 NJ DME Supplier - Physician - OptometristDME Supplier - Optician 7315833829 Practice locations: Little Falls, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Anthony J Boni OD and Alicia N Dorm245 Paterson Ave, Little Falls, NJ 07424-1607(973) 785-3277 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 31, 1994

National Provider Directory

National Provider Directory

Locations

245 Paterson Ave
Ste 1
Little Falls, NJ 07424

16 Romaine Rd
Mountain Lks, NJ 07046
Phone (973) 335-2020

40 Mayhill St
Saddle Brook, NJ 07663
Phone (201) 843-4430

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1346344868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PATERSON AVE",
            "address_2": "PO BOX 1220",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241607",
            "telephone_number": "973-785-3277",
            "fax_number": "973-812-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PATERSON AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241607",
            "telephone_number": "973-785-3277",
            "fax_number": "973-812-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J BONI OD AND ALICIA N DORMAN OD/PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "CASHMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-785-3277"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.