Individual provider Active NPI

Ankita Saripella, O.D.

  • Optometrist
  • Bayonne, NJ
National Provider Identifier
1386184232
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00672400 Issued in NJ
Practice address
590 Broadway
Bayonne, NJ 07002-3826
Phone
(201) 823-3998
Fax
(201) 823-2181
NPI assigned
Feb 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00672400 NJ Primary

Addresses

Primary practice location

590 Broadway
Bayonne, NJ 07002-3826

Mailing address

590 Broadway
Bayonne, NJ 07002-3826
Phone (201) 823-3998

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
I20190827003039 NJ Practitioner - Optometry 6608104757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

590 Broadway
Bayonne, NJ 07002-3826
Phone (201) 823-3998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayonne Vision LLC Optometrist CurrentSince May 2, 2023 Accepting new patients
Charles M. Cummins, OD, PA Optometrist PastSince Jul 10, 2019 Accepting new patients

Locations

590 Broadway
Bayonne, NJ 07002
Phone (201) 523-3998

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1386184232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023826",
            "telephone_number": "201-823-3998",
            "fax_number": "201-823-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023826",
            "telephone_number": "201-823-3998",
            "fax_number": "201-823-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIPELLA",
        "first_name": "ANKITA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00672400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.