Richard Kubynin, NJ OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

31TD00405600 Issued in NJ

Practice address

2553 County Rd 516
Old Bridge, NJ 08857-1881

Phone

(732) 890-3017

NPI assigned

Nov 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Reel Optics LLC

  • Optician
  • Old Bridge, NJ
  • NPI 1740886753
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1366045833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DORTMUNDER DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263800",
            "telephone_number": "732-890-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 COUNTY RD 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571881",
            "telephone_number": "732-890-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBYNIN",
        "first_name": "RICHARD",
        "credential": "NJ OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00405600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reeloptics1@gmail.com",
            "affiliation": "N",
            "address_1": "2553 County Rd 516",
            "city": "Old Bridge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088571881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer C Kowalski, APN
• Aleksander Kowarz, DPT
• Karina Krasil, RD
• Paula Krauser, MD
• Nanditha Krishnamsetty, M.D.
• Martin Alan Kugel, D.D.S.
• Anupama Kukade, OCCUPATIONAL THERAPI
• Kva Health Group LLC
• Patricia Cunningham Laemmle, MD
• Dylan Lagiglia, OTR/L

• Optician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.