Individual provider Active NPI

Jaime Rose Falco, O.D.

  • Optometrist
  • Green Brook, NJ
National Provider Identifier
1447489299
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00619500 Issued in NJ
Practice address
255 US Highway 22
Green Brook, NJ 08812-1807
Phone
(732) 752-6222
Fax
(732) 752-2030
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

159 US Hwy 22
Green Brook, NJ 08812

159 US Hwy 22
Green Brook, NJ 08812-1901
Phone (732) 752-6222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105001743 NJ Practitioner - Optometry 6305127382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00619500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J Falco OD LLC Optometrist CurrentSince Oct 8, 2016 Accepting new patients
Kyle Vision PLLC Optometrist PastSince Jan 12, 2019 Accepting new patients

Locations

159 US Highway 22
Green Brook, NJ 08812
Phone (732) 752-6222

255 US Highway 22
Green Brook, NJ 08812
Phone (732) 752-6222

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00619500 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

255 US Highway 22
Green Brook, NJ 08812-1807

Mailing address

255 US Highway 22
Green Brook, NJ 08812-1807
Phone (732) 752-6222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2015.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1447489299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 US HIGHWAY 22",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121807",
            "telephone_number": "732-752-6222",
            "fax_number": "732-752-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 US HIGHWAY 22",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121807",
            "telephone_number": "732-752-6222",
            "fax_number": "732-752-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCO",
        "first_name": "JAIME",
        "middle_name": "ROSE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00619500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Brook, NJ

Sources for this page

Verify at the official NPI Registry.