Active NPI
Daniel Kritzer, OPTICIAN
- Optician
- Lincoln Park, NJ
National Provider Identifier
1376656132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 31TD00104502
- Practice address
- 60 Beaverbrook Rd
Suite 13B
Lincoln Park, NJ 07035-1771 - Phone
- (973) 694-3937
- Fax
- (973) 694-3242
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 31TD00104502 | NJ | Primary |
Addresses
Primary practice location
60 Beaverbrook Rd
Suite 13B
Lincoln Park, NJ 07035-1771
Mailing address
51 Leather Stocking Path
Lincoln Park, NJ 07035-2338
Phone (973) 694-9460
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31TD00104502 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200096000000",
"number": "1376656132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 LEATHER STOCKING PATH",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070352338",
"telephone_number": "973-694-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BEAVERBROOK RD",
"address_2": "SUITE 13B",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070351771",
"telephone_number": "973-694-3937",
"fax_number": "973-694-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRITZER",
"first_name": "DANIEL",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2008-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "31TD00104502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.