Individual provider Active NPI

Steven Zalaznick, O.D.

  • Optometrist
  • Passaic, NJ
National Provider Identifier
1366418543
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4071 Issued in NJ
Practice address
177 Prospect St
Passaic, NJ 07055-5150
Phone
(973) 777-4343
Fax
(973) 777-0536
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4071 NJ Primary

Addresses

Primary practice location

177 Prospect St
Passaic, NJ 07055-5150

Mailing address

177 Prospect St
Passaic, NJ 07055-5150
Phone (973) 777-4343

Other identifiers 1

IdentifierTypeStateIssuer
0074292MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000645 NJ Practitioner - Optometry 7416961362 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4071NJMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1366418543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 PROSPECT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555150",
            "telephone_number": "973-777-4343",
            "fax_number": "973-777-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 PROSPECT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555150",
            "telephone_number": "973-777-4343",
            "fax_number": "973-777-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALAZNICK",
        "first_name": "STEVEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074292",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.