Individual provider Active NPI

Nasrine A. Shadpoor, O.D.

  • Optometrist
  • Bedminster, NJ
National Provider Identifier
1508904335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5334 Issued in NJ
Practice address
452-A Route 206
Bedminster, NJ 07921-1560
Phone
(908) 781-7707
Fax
(908) 781-7708
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5334 NJ Primary

Addresses

Primary practice location

452-A Route 206
Bedminster, NJ 07921-1560

Mailing address

452-A Route 206
Bedminster, NJ 07921-1560
Phone (908) 781-7707

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
I20081023000695 NJ Practitioner - Optometry 4385702026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles M Cummins, OD, PAGroup PAC ID 0446246995, 24 clinicians

Practice addresses (Care Compare)

1255 Broad St
Bloomfield, NJ 07003-3000
Phone (973) 338-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M. Cummins, OD, PA Optometrist CurrentSince Jan 12, 2023 Accepting new patients
Charles M Cummins, OD, PA Optometrist CurrentSince Jan 12, 2023 Accepting new patients
Charles M. Cummins, OD., PA Optometrist Current Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

331 Chimney Rock Rd
Bound Brook, NJ 08805
Phone (726) 444-4043

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

550 Old Post Rd
Edison, NJ 08817
Phone (732) 287-6600

30 Lafayette Ave
Morristown, NJ 07960
Phone (973) 267-9800

395 Mount Hope Ave
Ste 400
Rockaway, NJ 07866
Phone (973) 361-0329

120 Route 22
Springfield, NJ 07081
Phone (973) 379-5063

157 State Route 10 E
Succasunna, NJ 07876
Phone (973) 927-7717

873 Saint George Ave
Woodbridge, NJ 07095
Phone (732) 750-3900

Organizations & group practices 3

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508904335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452-A ROUTE 206",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079211560",
            "telephone_number": "908-781-7707",
            "fax_number": "908-781-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452-A ROUTE 206",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079211560",
            "telephone_number": "908-781-7707",
            "fax_number": "908-781-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADPOOR",
        "first_name": "NASRINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

Verify at the official NPI Registry.