Active NPI
Jaime Rose Falco, O.D.
- Optometrist
- Green Brook, NJ
National Provider Identifier
1447489299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00619500
- 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.
-
- Optometrist
- Kyle, TX
- NPI 1538403688
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170105001743 | NJ | Practitioner - Optometry | 6305127382 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00619500 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Falco OD LLC | Optometrist | Current | Accepting new patients |
| Kyle Vision PLLC | Optometrist | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00619500 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.