Individual provider Active NPI

Gary A Narkaus, OD

  • Optometrist
  • Newark, NJ
National Provider Identifier
1376567198
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO00018500 Issued in NJ
Practice address
500 Springfield Ave
Newark, NJ 07103-2021
Phone
(973) 623-5825
Fax
(973) 623-2399
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA00397000 NJ
Optometrist 152W00000X TO00018500 NJ Primary

Addresses

Primary practice location

500 Springfield Ave
Newark, NJ 07103-2021

Mailing address

500 Springfield Ave
Newark, NJ 07103-2021
Phone (973) 623-5825

Other identifiers 1

IdentifierTypeStateIssuer
3932508MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA00397000NJMDOptometrist
TO00018500NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1376567198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SPRINGFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032021",
            "telephone_number": "973-623-5825",
            "fax_number": "973-623-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPRINGFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032021",
            "telephone_number": "973-623-5825",
            "fax_number": "973-623-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARKAUS",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA00397000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "TO00018500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3932508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.