NPIMap

Organization Active NPI

James a Prate LLC

  • Exclusive Provider Organization
  • Laurel Springs, NJ
National Provider Identifier
1487994802
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
27OM00065300 Issued in NJ
Legal business name
JAMES A PRATE LLC
Practice address
1405 Chews Landing Rd
Laurel Springs, NJ 08021-2769
Phone
(856) 228-1171
Fax
(856) 225-1545
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
James A Prate Jr., O. D.NPI 1114968716
Title
Optometrist
Phone
(856) 228-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 27OM00065300 NJ Primary

Addresses

Primary practice location

1405 Chews Landing Rd
Laurel Springs, NJ 08021-2769

Mailing address

1405 Chews Landing Rd
Laurel Springs, NJ 08021-2769
Phone (856) 228-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160608001404 NJ Part B Supplier - Clinic/Group Practice 2365732021 Receives reassigned benefits from 2 practitioners
Practice locations: Laurel Springs, NJ

National Provider Directory

National Provider Directory

Locations

1405 Chews Landing Rd
Ste 5
Laurel Springs, NJ 08021
Phone (856) 228-1171

1405 Chews Landing Rd
Lindenwold, NJ 08021
Phone (856) 227-6575

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1487994802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-228-1171",
            "fax_number": "856-225-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-228-1171",
            "fax_number": "856-225-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A PRATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "PRATE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "856-228-1171",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "27OM00065300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.