Individual provider Active NPI

John C Scaramia, OD

  • Optometrist
  • Clifton, NJ
National Provider Identifier
1487791166
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00506400 Issued in NJ
Practice address
20 Bridewell PL
Clifton, NJ 07014-1724
Phone
(973) 777-7895
Fax
(973) 777-8842
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00506400 NJ Primary
Optometrist 152W00000X TO00492 NJ

Addresses

Primary practice location

20 Bridewell PL
Clifton, NJ 07014-1724

Mailing address

1 Carr PL
Totowa, NJ 07512-1916
Phone (973) 777-7895

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
I20110728000238 NJ Practitioner - Optometry 0446428924 Reassigns benefits to 1 organization
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TO00492NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louis Eyecare LLC Optometrist CurrentSince Jan 22, 2011 Accepting new patients

Locations

3513 John F Kennedy Blvd
#J
Jersey City, NJ 07307
Phone (201) 420-8162

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487791166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARR PL",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121916",
            "telephone_number": "973-777-7895",
            "fax_number": "973-777-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRIDEWELL PL",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141724",
            "telephone_number": "973-777-7895",
            "fax_number": "973-777-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARAMIA",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00506400",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "TO00492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.