Individual provider Active NPI

Taryn V Tapia, O.D.

  • Optometrist
  • Edgewater, NJ
National Provider Identifier
1497772420
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00574100 Issued in NJ
Practice address
543 River Rd
Edgewater, NJ 07020-1146
Phone
(201) 941-7331
NPI assigned
Jul 16, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00574100 NJ Primary

Addresses

Primary practice location

543 River Rd
Edgewater, NJ 07020-1146

Mailing address

PO Box 4112
Clifton, NJ 07012-8112

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
I20041102000125 NJ Practitioner - Optometry 6103888177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

898 River Rd
Edgewater, NJ 07020-1219
Phone (201) 941-7331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00574100NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyemedics PC Optometrist CurrentSince May 1, 2008 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients
Passaic Vision Center ,LLC. Past Accepting new patients
Loptique LLC Past Accepting new patients
The Eye Care Center of New Jersey,PA Past Accepting new patients
Opti-King,LLC. Optometrist PastSince Sep 18, 2013 Accepting new patients
Passaic Vision Center Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1497772420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4112",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070128112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201146",
            "telephone_number": "201-941-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "TARYN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00574100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.