Active NPI
Fatima Lucila Constante-Gonzalez, O.D.,
- Optometrist
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00613600
- Practice address
- 251 Clifton Ave
Clifton, NJ 07011-1961 - Phone
- (973) 340-2300
- NPI assigned
- Jul 22, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 27OA00613600 | NJ | Primary |
Addresses
Primary practice location
251 Clifton Ave
Clifton, NJ 07011-1961
Mailing address
53 47TH St Apt 4R
Weehawken, NJ 07086-7144
Other practice location 1
517 41st St
Union City, NJ 07087-3793
Phone (201) 866-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27OA00613600 | Other | NJ | NJ LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
251 Clifton Ave
Clifton, NJ 07011-1961
Phone (973) 340-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00613600 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles M Cummins, OD, PA | Optometrist | Current | Accepting new patients |
| Charles M. Cummins, OD., PA | Optometrist | Current | Accepting new patients |
Locations
1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575
588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755
251 Clifton Ave
Clifton, NJ 07011
Phone (973) 340-2300
550 Old Post Rd
Edison, NJ 08817
Phone (732) 287-6600
501 N Route 17
Paramus, NJ 07652
Phone (201) 265-9400
500 Route 23
Ste 7
Pompton Plains, NJ 07444
Phone (973) 616-7171
120 Route 22
Springfield, NJ 07081
Phone (973) 379-5063
157 State Route 10 E
Succasunna, NJ 07876
Phone (973) 927-7717
255 US Highway 46
Totowa, NJ 07512
Phone (973) 785-8000
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
- Bloomfield, NJ
- NPI 1598797722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1457516106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 47TH ST APT 4R",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070867144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111961",
"telephone_number": "973-340-2300"
}
],
"practiceLocations": [
{
"address_1": "517 41st St",
"address_purpose": "LOCATION",
"city": "Union City",
"state": "NJ",
"postal_code": "070873793",
"country_code": "US",
"telephone_number": "201-866-2440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONSTANTE-GONZALEZ",
"first_name": "FATIMA",
"middle_name": "LUCILA",
"name_prefix": "Dr.",
"credential": "O.D.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00613600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE",
"identifier": "27OA00613600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.