Individual provider Active NPI

Edward Janiga, O.D.

  • Optometrist
  • Hawthorne, NJ
National Provider Identifier
1457419657
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4761 Issued in NJ
Practice address
274 Lafayette Ave
Hawthorne, NJ 07506-1962
Phone
(973) 423-2015
Fax
(973) 423-5192
NPI assigned
Dec 4, 2006
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4761 NJ Primary

Addresses

Primary practice location

274 Lafayette Ave
Hawthorne, NJ 07506-1962

Mailing address

274 Lafayette Ave
Hawthorne, NJ 07506-1962
Phone (973) 423-2015

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
I20100121000493 NJ Practitioner - Optometry 3476695966 Reassigns benefits to 1 organization
Practice locations: Hawthorne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

188 Lafayette Ave
Suite 1
Hawthorne, NJ 07506-1987
Phone (973) 423-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4761NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eyecare and Optical L.L.C Optometrist CurrentSince May 8, 2023 Accepting new patients
Fontanarosa Chiropractic Inc Past Accepting new patients

Locations

188 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 423-2015

188 Lafayette Ave
Ste 1
Hawthorne, NJ 07506
Phone (973) 423-2015

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1457419657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061962",
            "telephone_number": "973-423-2015",
            "fax_number": "973-423-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061962",
            "telephone_number": "973-423-2015",
            "fax_number": "973-423-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIGA",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

Verify at the official NPI Registry.