NPIMap

Organization Active NPI

Jersey Garden'S Optometry P.C.

  • Optometrist
  • Elizabeth, NJ
National Provider Identifier
1386877785
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00586400 Issued in NJ
Legal business name
JERSEY GARDEN'S OPTOMETRY P.C.
Practice address
651 Kapkowski Rd
Suite 1236
Elizabeth, NJ 07201-4901
Phone
(908) 354-1599
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. Elena FeldmanNPI 1679526040
Title
Optometrist
Phone
(908) 354-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00586400 NJ Primary

Addresses

Primary practice location

651 Kapkowski Rd
Suite 1236
Elizabeth, NJ 07201-4901

Mailing address

651 Kapkowski Rd
Suite 1236
Elizabeth, NJ 07201-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091104000261 NJ Part B Supplier - Clinic/Group Practice 4981742459 Receives reassigned benefits from 4 practitioners
Practice locations: Elizabeth, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1386877785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 KAPKOWSKI RD",
            "address_2": "SUITE 1236",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 KAPKOWSKI RD",
            "address_2": "SUITE 1236",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014901",
            "telephone_number": "908-354-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY GARDEN'S OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "908-354-1599",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00586400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.