Active NPI
Bergenline Optometry PC
- Optometrist
- West New York, NJ
National Provider Identifier
1497439228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BERGENLINE OPTOMETRY PC
- Practice address
- 5618 Bergenline Ave
West New York, NJ 07093-1232 - Phone
- (201) 867-2942
- NPI assigned
- Jun 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pooja Kadakia
- Title
- OD
- Phone
- (732) 861-4306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
5618 Bergenline Ave
West New York, NJ 07093-1232
Mailing address
5618 Bergenline Ave
West New York, NJ 07093-1232
Phone (201) 867-2942
Other names 1
- AMERICAN VISION CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1497439228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5618 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931232",
"telephone_number": "201-867-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5618 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931232",
"telephone_number": "201-867-2942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERGENLINE OPTOMETRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A",
"authorized_official_last_name": "KADAKIA",
"authorized_official_first_name": "POOJA",
"authorized_official_title_or_position": "OD",
"authorized_official_telephone_number": "732-861-4306"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AMERICAN VISION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.