Individual provider Active NPI

Joseph Andrew Schkolnick, O.D.

  • Optometrist
  • West Caldwell, NJ
National Provider Identifier
1366494486
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00478800 Issued in NJ
Practice address
616 Bloomfield Ave Ste 3B
West Caldwell, NJ 07006-7585
Phone
(973) 228-9786
Fax
(973) 228-5427
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00478800 NJ Primary

Addresses

Primary practice location

616 Bloomfield Ave Ste 3B
West Caldwell, NJ 07006-7585

Mailing address

616 Bloomfield Ave Ste 3B
West Caldwell, NJ 07006-7585
Phone (973) 228-9786

Other identifiers 1

IdentifierTypeStateIssuer
1344501MedicaidNJ

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
I20120117000615 NJ Practitioner - Optometry 8426225301 Practice locations: West Caldwell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

616 Bloomfield Ave
Suite 3B
West Caldwell, NJ 07006-7525

616 Bloomfield Ave
Suite 3B
West Caldwell, NJ 07006-7585
Phone (973) 228-9786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4788NJMDPsychologist
27OA00478800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Rehab Services CurrentSince Dec 6, 2022 Accepting new patients
Precision Vision Past Accepting new patients

Locations

616 Bloomfield Ave
Ste 3B
West Caldwell, NJ 07006
Phone (973) 228-9786

Organizations & group practices 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1366494486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BLOOMFIELD AVE STE 3B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067585",
            "telephone_number": "973-228-9786",
            "fax_number": "973-228-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BLOOMFIELD AVE STE 3B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067585",
            "telephone_number": "973-228-9786",
            "fax_number": "973-228-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHKOLNICK",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00478800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.