Individual provider Active NPI

Jamie Marc Denaro, OPTICIAN

  • Optician
  • Howard Beach, NY
National Provider Identifier
1487738274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4912 Issued in NY
Practice address
15614 Crossbay Blvd
Howard Beach, NY 11414-2745
Phone
(718) 738-2020
Fax
(718) 641-1010
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 4912 NY Primary

Addresses

Primary practice location

15614 Crossbay Blvd
Howard Beach, NY 11414-2745

Mailing address

15614 Crossbay Blvd
Howard Beach, NY 11414-2745
Phone (718) 738-2020

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4912NYMDAddiction (Substance Use Disorder) Counselor
004912NYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamierose Eyeware Inc CurrentSince Apr 1, 2013 Accepting new patients

Locations

15614 Crossbay Blvd
Howard Beach, NY 11414
Phone (718) 738-2020

Organizations & group practices 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487738274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15614 CROSSBAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142745",
            "telephone_number": "718-738-2020",
            "fax_number": "718-641-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 CROSSBAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142745",
            "telephone_number": "718-738-2020",
            "fax_number": "718-641-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENARO",
        "first_name": "JAMIE",
        "middle_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.