NPIMap

Organization Active NPI

Larry M Fuerman OD & Scott a Fuerman OD PTR

  • Optometrist
  • Pleasantville, NJ
National Provider Identifier
1508985805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA0434800 Issued in NJ
Legal business name
LARRY M FUERMAN OD & SCOTT A FUERMAN OD PTR
Practice address
55 E Black Horse Pike
Pleasantville, NJ 08232-2759
Phone
(609) 641-2330
Fax
(609) 641-6555
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott A Fuerman, O.D.NPI 1841315512
Title
Optometrist
Phone
(609) 641-2330

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OA0434800 NJ Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OA039400 NJ

Addresses

Primary practice location

55 E Black Horse Pike
Pleasantville, NJ 08232-2759

Mailing address

55 E Black Horse Pike
Pleasantville, NJ 08232-2759
Phone (609) 641-2330

Other identifiers 1

IdentifierTypeStateIssuer
3263304MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000294 NJ Part B Supplier - Clinic/Group Practice 6305823147 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Pleasantville, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

17 S New York Ave
Atlantic City, NJ 08401
Phone (609) 347-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508985805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322759",
            "telephone_number": "609-641-2330",
            "fax_number": "609-641-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322759",
            "telephone_number": "609-641-2330",
            "fax_number": "609-641-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY M FUERMAN OD & SCOTT A FUERMAN OD PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUERMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "609-641-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA0434800",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA039400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3263304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.