Individual provider Active NPI

Teresa J. Vigario, O.D.

  • Optometrist
  • Elizabeth, NJ
National Provider Identifier
1447583372
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA0062O500 Issued in NJ
Practice address
651 Kapkowski Rd
Suite 1236
Elizabeth, NJ 07201-4901
Phone
(908) 354-1599
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA0062O500 NJ Primary

Addresses

Primary practice location

651 Kapkowski Rd
Suite 1236
Elizabeth, NJ 07201-4901

Mailing address

405 New York Ave
Newark, NJ 07105-3140
Phone (973) 465-0571

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
I20121220000203 NJ Practitioner - Optometry 3274785217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Health Care Associates LLCGroup PAC ID 2163450958, 19 clinicians

Practice addresses (Care Compare)

2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone (732) 381-3740

300 S Ave
Garwood, NJ 07027-1312

33 Overlook Rd
Suite 304
Summit, NJ 07901-3563
Phone (732) 381-3740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA0062O500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Health Care Associates LLC CurrentSince Sep 9, 2014 Accepting new patients
MD Care Urgent Center LLC CurrentSince Sep 9, 2014 Accepting new patients

Locations

637 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 691-3800

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

Interoperability endpoints

  • Direct secure messaging: vigario.teresa.002.0300087@ucha.meditab.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1447583372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NEW YORK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053140",
            "telephone_number": "973-465-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 KAPKOWSKI RD",
            "address_2": "SUITE 1236",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014901",
            "telephone_number": "908-354-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGARIO",
        "first_name": "TERESA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA0062O500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.