Individual provider Active NPI

Nina Masi, OD

  • Optometrist
  • Linden, NJ
National Provider Identifier
1376622779
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA004763 Issued in NJ
Practice address
621 W Edgar Rd
Linden, NJ 07036-6574
Phone
(908) 474-9089
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 OA004763 NJ Primary

Addresses

Primary practice location

621 W Edgar Rd
Linden, NJ 07036-6574

Mailing address

68 Timber Dr
Berkeley Heights, NJ 07922-1753
Phone (908) 226-5111

Other practice location 1

20 Mount Bethel Rd Ste 11
Warren, NJ 07059-5835
Phone (908) 546-7000

Other practice location 2

1640 US Highway 22
Sears Optical
Watchung, NJ 07069-6503
Phone (908) 226-5111

Other identifiers 1

IdentifierTypeStateIssuer
2049410OtherNJAETNA

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
I20130516000247 NJ Practitioner - Optometry 7618114349 Practice locations: Warren, NJ; Linden, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA004763NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Klein & Scannapiego, MD., PA Optometrist Past Accepting new patients
Paterson Eye Associates PastSince Aug 10, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376622779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 TIMBER DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221753",
            "telephone_number": "908-226-5111",
            "fax_number": "908-769-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W EDGAR RD",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366574",
            "telephone_number": "908-474-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Mount Bethel Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "070595835",
            "country_code": "US",
            "telephone_number": "908-546-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 US Highway 22",
            "address_2": "SEARS OPTICAL",
            "address_purpose": "LOCATION",
            "city": "Watchung",
            "state": "NJ",
            "postal_code": "070696503",
            "country_code": "US",
            "telephone_number": "908-226-5111",
            "fax_number": "908-769-0092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASI",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA004763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2049410",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.