Saras Rustagi, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5845 Issued in NJ

Practice address

5202 Bergenline Ave
West New York, NJ 07093-5524

Phone

(201) 974-2999

Fax

(201) 974-2999

NPI assigned

Dec 15, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rustagi Eye Associates LLC

  • Optometrist
  • West New York, NJ
  • NPI 1043451271
  Medicare reassignment NPD Authorized official
• Ridgewood Eye Care & Wear LLC

  • Optometrist
  • Ridgewood, NJ
  • NPI 1124813464
  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427110311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935524",
            "telephone_number": "201-974-2999",
            "fax_number": "201-974-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935524",
            "telephone_number": "201-974-2999",
            "fax_number": "201-974-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTAGI",
        "first_name": "SARAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "5845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021865",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beatriz Rosales Fuentes
• Monica Rosales Santillan
• Mercedes Nancy Rudelli, MD
• Raul D Rudelli, MD
• Rustagi Eye Associates LLC
• Saam Medical
• Salazar Dental LLC
• Maria Salazar, DMD
• Samantha P. Herman, M.D., LLC
• Bienvenido Sanchez, MD

• Corneal and Contact Management Optometrist in West New York, NJ
• Providers in West New York, NJ by specialty
• Corneal and Contact Management Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.