Organization Active NPI

Paul Naftali O D P a

  • Corneal and Contact Management Optometrist
  • Madison, NJ
National Provider Identifier
1508053760
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
270A00510800 Issued in NJ
Legal business name
PAUL NAFTALI O D P A
Practice address
311 Main St
Madison, NJ 07940-2338
Phone
(973) 377-1060
Fax
(973) 660-1133
NPI assigned
Oct 1, 2007
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Paul Naftali, O.D.NPI 1316945108
Title
Optometrist
Phone
(973) 377-1060

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
Corneal and Contact Management Optometrist 152WC0802X 270A00510800 NJ Primary

Addresses

Primary practice location

311 Main St
Madison, NJ 07940-2338

Mailing address

311 Main St
Madison, NJ 07940-2338
Phone (973) 377-1060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000008 NJ Part B Supplier - Clinic/Group Practice 6800968942 Receives reassigned benefits from 8 practitioners
Practice locations: Madison, NJ

National Provider Directory

National Provider Directory

Locations

48 Main St
Madison, NJ 07940
Phone (973) 377-1060

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1508053760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402338",
            "telephone_number": "973-377-1060",
            "fax_number": "973-660-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402338",
            "telephone_number": "973-377-1060",
            "fax_number": "973-660-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL NAFTALI O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "NAFTALI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "973-377-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "270A00510800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.