Active NPI
Inna Zimmerling, OD
- Optometrist
- North Bergen, NJ
National Provider Identifier
1376579060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00584700
- Practice address
- 7733 Bergenline Ave
North Bergen, NJ 07047-7134 - Phone
- (201) 868-1021
- Fax
- (201) 868-2960
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00584700 | NJ | Primary |
| Optometrist | 152W00000X | 1245 | NJ | |
| Optometrist | 152W00000X | 006841 | NY | |
| Corneal and Contact Management Optometrist | 152WC0802X | 27OA00584700 | NJ | |
| Optometrist | 152W00000X | TUV00684100 | NY |
Addresses
Primary practice location
7733 Bergenline Ave
North Bergen, NJ 07047-7134
Mailing address
538 Undercliff Ave
Unit B
Edgewater, NJ 07020-1310
Phone (201) 218-4485
Other practice location 1
12102 Liberty Ave
South Richmond Hill, NY 11419-2112
Phone (718) 835-3400
Other practice location 2
16 E Prospect St
Waldwick, NJ 07463-2008
Phone (902) 290-6933
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1245 | NJ | MD | Optometrist |
| 27OA00584700 | NJ | MD | Optometrist |
| TUV00684100 | NY | MD | Optometrist |
| 006841 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Refractive Professional Corporation | Optometrist | Past | Accepting new patients |
| Modern Vision, Inc | Optometrist | Past | Accepting new patients |
| Greenwich Eye Center | Corneal and Contact Management | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Optometrist
- North Bergen, NJ
- NPI 1093244519
-
dba Diamond Vision
- Ophthalmology Physician
- Paramus, NJ
- NPI 1336346618
Optometrist
-
dba Diamond Vision
- Ophthalmology Physician
- Greenwich, CT
- NPI 1346279007
Corneal and Contact Management
-
- Optometrist
- Brooklyn, NY
- NPI 1366760019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1376579060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 UNDERCLIFF AVE",
"address_2": "UNIT B",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201310",
"telephone_number": "201-218-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 BERGENLINE AVE",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070477134",
"telephone_number": "201-868-1021",
"fax_number": "201-868-2960"
}
],
"practiceLocations": [
{
"address_1": "12102 Liberty Ave",
"address_purpose": "LOCATION",
"city": "South Richmond Hill",
"state": "NY",
"postal_code": "114192112",
"country_code": "US",
"telephone_number": "718-835-3400",
"fax_number": "718-835-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 E Prospect St",
"address_purpose": "LOCATION",
"city": "Waldwick",
"state": "NJ",
"postal_code": "074632008",
"country_code": "US",
"telephone_number": "902-290-6933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERLING",
"first_name": "INNA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00584700",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "1245",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "006841",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NJ",
"license": "27OA00584700",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV00684100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.