Individual provider Active NPI

Edward Beja, O.D.

  • Optometrist
  • Hillsdale, NJ
National Provider Identifier
1396783544
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005141 Issued in NJ
Practice address
330A Broadway
Hillsdale, NJ 07642-1417
Phone
(201) 666-8081
NPI assigned
Jun 2, 2006
Last updated
Nov 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005141 NJ Primary

Addresses

Primary practice location

330A Broadway
Hillsdale, NJ 07642-1417

Mailing address

177 Oakland St
Hillsdale, NJ 07642-1623
Phone (201) 666-3566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005141NJMDOptometrist
005205NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Margi Shah OD, LLC Optometrist CurrentSince Dec 3, 2024 Accepting new patients
Dr. Edward T Beja Associate Doctor of Optometry PC Optometrist CurrentSince Jan 17, 1997 Accepting new patients

Locations

330 Broadway
Ste A
Hillsdale, NJ 07642
Phone (201) 666-8081

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1396783544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 OAKLAND ST",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421623",
            "telephone_number": "201-666-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330A BROADWAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421417",
            "telephone_number": "201-666-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJA",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "005141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

Verify at the official NPI Registry.