Active NPI
Nathan Fink, O.D.
- Optometrist
- Lanoka Harbor, NJ
National Provider Identifier
1457443301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4129
- Practice address
- 415 N Main St
Lanoka Harbor, NJ 08734-2834 - Phone
- (609) 693-8808
- Fax
- (609) 242-1078
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4129 | NJ | Primary |
Addresses
Primary practice location
415 N Main St
Lanoka Harbor, NJ 08734-2834
Mailing address
415 N Main St
PO Box 367
Lanoka Harbor, NJ 08734-0367
Phone (609) 693-8808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4129 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1457443301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N MAIN ST",
"address_2": "PO BOX 367",
"city": "LANOKA HARBOR",
"state": "NJ",
"postal_code": "087340367",
"telephone_number": "609-693-8808",
"fax_number": "609-242-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N MAIN ST",
"city": "LANOKA HARBOR",
"state": "NJ",
"postal_code": "087342834",
"telephone_number": "609-693-8808",
"fax_number": "609-242-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "4129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanoka Harbor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.