Gigette Collazo Harfst, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00514000 Issued in NJ

Practice address

15 W Washington Ave
Washington, NJ 07882-1916

Phone

(908) 689-0240

Fax

(908) 689-0676

NPI assigned

Feb 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Dr. Gigette Collazo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northwest Optometry Group, P.a.

  • Optometrist
  • Sparta, NJ
  • NPI 1770757379
  NPD (past)
• Northwest Optometry Group, P.a.

  • Optometrist
  • Sparta, NJ
  • NPI 1801853254
  NPD (past)

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1356317796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W WASHINGTON AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821916",
            "telephone_number": "908-689-0240",
            "fax_number": "908-689-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W WASHINGTON AVE",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821916",
            "telephone_number": "908-689-0240",
            "fax_number": "908-689-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARFST",
        "first_name": "GIGETTE",
        "middle_name": "COLLAZO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00514000",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601002125",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000536",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00091000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "003008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116157",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIGETTE",
            "last_name": "COLLAZO",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mary Jo Harris, BSW
• Kelly C Hawley, MSN, RN
• Brittany V Heerwagen, MSOTR/L
• Dylan Henderson
• Amy Hendricks, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.