Individual provider Active NPI

Negar Sedaghat-Ardakani, O.D.

  • Optometrist
  • Wyckoff, NJ
National Provider Identifier
1386071538
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00649800 Issued in NJ
Practice address
400 Franklin Ave
Wyckoff, NJ 07481-1347
Phone
(201) 560-1000
Fax
(201) 560-0573
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00649800 NJ Primary

Addresses

Primary practice location

400 Franklin Ave
Wyckoff, NJ 07481-1347

Mailing address

400 Franklin Ave
Wyckoff, NJ 07481-1347

Other names 1

  • Dr. Nikki Sedaghat Professional name

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
I20161206000706 NJ Practitioner - Optometry 3971883190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 Ramapo Valley Rd
Suite 21
Oakland, NJ 07436-2712
Phone (201) 651-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Vision Center Doctors Office, LLC Optometrist CurrentSince Sep 5, 2016 Accepting new patients
Wyckoff Optical, Inc. Optometrist PastSince Mar 1, 2018 Accepting new patients
Carabin Eye Care, PC Past Accepting new patients

Locations

350 Ramapo Valley Rd
Ste 21
Oakland, NJ 07436
Phone (201) 651-1212

Organizations & group practices 3

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1386071538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811347",
            "telephone_number": "201-560-1000",
            "fax_number": "201-560-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHAT-ARDAKANI",
        "first_name": "NEGAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00649800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "SEDAGHAT",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wyckoff, NJ

Sources for this page

Verify at the official NPI Registry.