Active NPI
Gary Rocha, O.D.
- Optometrist
- Paramus, NJ
National Provider Identifier
1447387907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5920
- Practice address
- 322 E Rte 4
Paramus, NJ 07652-5105 - Phone
- (201) 489-8868
- Fax
- (248) 827-0949
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5920 | NY | Primary |
Addresses
Primary practice location
322 E Rte 4
Paramus, NJ 07652-5105
Mailing address
222 E 27TH St
Apt 9
New York, NY 10016-9272
Phone (917) 769-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02831478 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Nova Southeastern Univ College of Dental Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
322 E Rte
Suite 4
Paramus, NJ 07652-5105
Phone (201) 489-8868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5920 | NY | MD | Optometrist |
| 005920 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tag Optical Corp | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Paramus, NJ
- NPI 1215397781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1447387907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E 27TH ST",
"address_2": "APT 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169272",
"telephone_number": "917-769-6800",
"fax_number": "718-462-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 E RTE 4",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525105",
"telephone_number": "201-489-8868",
"fax_number": "248-827-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHA",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "5920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02831478",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.