Front Street Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FRONT STREET EYECARE, LLC

Practice address

149 Front St
Secaucus, NJ 07094-3463

Phone

(917) 548-5083

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Maty Youngewirth, ODNPI 1528194560

Title

Optometrist

Phone

(917) 548-5083

Specialties & licenses 1

Addresses

Other names 1

• Front Street Eyecare Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maty Youngewirth, OD

  • Optometrist
  • Bergenfield, NJ
  • NPI 1528194560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1386222867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIARCLIFFE RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214021",
            "telephone_number": "201-338-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 FRONT ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943463",
            "telephone_number": "917-548-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT STREET EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "YOUNGEWIRTH",
        "authorized_official_first_name": "MATY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "917-548-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Front Street Eyecare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Front Street Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brianna Rose Franklin, PT, DPT
• Gregory S. Freed, D.D.S
• Randi Alison Freed, O.D., M.S.
• Fresenius Medical Care Secaucus, LLC
• Front Street Eyecare
• Fuel Medical LLC
• Zachary I Fuentes, PT, DPT
• Natalie Furka, DO
• Bruce H Furlonge
• Elba Milagros Furlonge

• Optometrist in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.