Individual provider Active NPI

Joanna Patrycja Trawinska Welsh, O.D.

  • Optometrist
  • Mount Laurel, NJ
National Provider Identifier
1376847590
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00628900 Issued in NJ
Practice address
3223 Route 38
Mount Laurel, NJ 08054-9746
Phone
(856) 234-7881
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00628900 NJ Primary
Optometrist 152W00000X 27OA00096000 NJ
Optometrist 152W00000X OEG002430 PA

Addresses

Primary practice location

3223 Route 38
Mount Laurel, NJ 08054-9746

Mailing address

1 Versailles Blvd
Cherry Hill, NJ 08003-5131
Phone (609) 504-7299

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
I20110824000215 NJ Practitioner - Optometry 4880864180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Difiore Enterprises Inc.Group PAC ID 3870656838, 2 clinicians

Practice addresses (Care Compare)

3223 Route 38
Suite 101
Mount Laurel, NJ 08054-9746
Phone (856) 234-7881

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00096000NJMDOptometrist
OEG002430PAMDOptometrist

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.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1376847590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VERSAILLES BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080035131",
            "telephone_number": "609-504-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 ROUTE 38",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549746",
            "telephone_number": "856-234-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWINSKA WELSH",
        "first_name": "JOANNA",
        "middle_name": "PATRYCJA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00628900",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00096000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.