Edward V Niemczyk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00415800 Issued in NJ

Practice address

1 Executive Dr
Monmouth Junction, NJ 08852-2407

Phone

(732) 297-7575

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aliari, IncGroup PAC ID 4385021138, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonia Parekh Vaidya, OD

  • Optometrist
  • Monmouth Junction, NJ
  • NPI 1366691586
  Medicare reassignment

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.

• Aliari, Inc.

  • Optometrist
  • Monmouth Junction, NJ
  • NPI 1487396834
  Medicare reassignment Care Compare group NPD
• Executive Eye Associates

  • Optometrist
  • Monmouth Junction, NJ
  • NPI 1538719877
  NPD (past) Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1366480659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522407",
            "telephone_number": "732-297-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522407",
            "telephone_number": "732-297-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMCZYK",
        "first_name": "EDWARD",
        "middle_name": "V",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00415800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neolomed Inc.
• Neuro Nurture LLC
• New Jersey Center for Ocd and Anxiety, LLC
• New Jersey CVS Pharmacy LLC
• New Jersey Podiatric Physicians & Surgeons Group, LLC
• NJ Psychcare LLC
• North Star Physical Therapy
• Jacquelyn Novick, MSW, LSW
• Joan Oleforo
• Optimum Medical Solutions PC

• Optometrist in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.