I. David Nestorowicz L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00607300 Issued in NJ

Legal business name

I. DAVID NESTOROWICZ L.L.C.

Practice address

4345 US RT 9 North
Freehold, NJ 07728

Phone

(732) 431-1004

Fax

(732) 431-1006

NPI assigned

Feb 27, 2007

Last updated

Aug 18, 2008By 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

Igor Nestorowicz, O.D.NPI 1154427532

Title

President

Phone

(732) 431-1004

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Igor David Nestorowicz, O.D.

  • Optometrist
  • Freehold, NJ
  • NPI 1154427532
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1346377520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 US RT 9 NORTH",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-431-1004",
            "fax_number": "732-431-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 US RT 9 NORTH",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-431-1004",
            "fax_number": "732-431-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. DAVID NESTOROWICZ L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "NESTOROWICZ",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-431-1004",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00607300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melina R Hughes, APN-BC
• Eric Hund, DPT, PT
• James J Hutchison, LCSW
• Hybridge Learning Group
• Hybridge Learning Group LLC
• I&M Physical Therapy, P.C
• Florence Ethel Ibale, MD
• Delfin George C. Ibanez, MD
• Josh Ibarreta
• Maryam Ibrahim, AGNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.