NPIMap

Organization Active NPI

James Aversa OD PA

  • Optometrist
  • Hasbrouck Heights, NJ
National Provider Identifier
1346411006
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00457100 Issued in NJ
Legal business name
JAMES AVERSA OD PA
Doing business as
James Aversa OD PA
Practice address
227 1/2 Blvd.
Hasbrouck Heights, NJ 07604-1901
Phone
(201) 288-1109
Fax
(201) 288-1589
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
JAMES AVERSA OD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. James John Aversa, ODNPI 1710957998
Title
Optometrist
Phone
(201) 288-1109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00457100 NJ Primary
Customized Equipment (DME) 332BC3200X 27TO00028300 NJ

Addresses

Primary practice location

227 1/2 Blvd.
Hasbrouck Heights, NJ 07604-1901

Mailing address

227 1/2 Blvd
Hasbrouck Heights, NJ 07604-1901
Phone (201) 288-1109

Other names 1

  • James Aversa OD PA Doing business as

National Provider Directory

National Provider Directory
Part of
James Aversa OD PA

Locations

227 Boulevard
Hasbrouck Heights, NJ 07604
Phone (201) 288-1109

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1346411006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 1/2 BLVD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041901",
            "telephone_number": "201-288-1109",
            "fax_number": "201-288-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 1/2 BLVD.",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041901",
            "telephone_number": "201-288-1109",
            "fax_number": "201-288-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES AVERSA OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES AVERSA OD PA",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "AVERSA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "201-288-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00457100",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "27TO00028300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Aversa OD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.