Active NPI
Rosemary Frasco, OD
- Optometrist
- Ridgewood, NJ
National Provider Identifier
1366558488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0A5749
- Practice address
- 625 Franklin Tpke
Ridgewood, NJ 07450 - Phone
- (201) 444-7770
- Fax
- (201) 445-2570
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0A5749 | NJ | Primary |
| Optometrist | 152W00000X | 0PC3646 | FL |
Addresses
Primary practice location
625 Franklin Tpke
Ridgewood, NJ 07450
Mailing address
625 Franklin Tpke
Ridgewood, NJ 07450-1913
Phone (201) 444-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075505 | Other | MEDICARE GROUP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 Franklin Tpke
Ridgewood, NJ 07450-1913
Phone (201) 444-7770
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0PC3646 | FL | MD | Optometrist |
| 0A5749 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liva Eye Center LLC | Current | Accepting new patients |
Locations
1 W Ridgewood Ave
Ste 101
Paramus, NJ 07652
Phone (201) 444-7770
625 Franklin Tpke
Ridgewood, NJ 07450
Phone (201) 444-1441
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.
-
- Ophthalmology Physician
- Ridgewood, NJ
- NPI 1710093836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1366558488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 FRANKLIN TPKE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074501913",
"telephone_number": "201-444-7770",
"fax_number": "201-445-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 FRANKLIN TPKE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "07450",
"telephone_number": "201-444-7770",
"fax_number": "201-445-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASCO",
"first_name": "ROSEMARY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "0A5749",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "0PC3646",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "075505",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.