Individual provider Active NPI

Charles L Zolot, OD

  • Optometrist
  • Paramus, NJ
National Provider Identifier
1548254808
Registry record updated Mar 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3508 Issued in NJ
Practice address
22 Madison Ave
Paramus, NJ 07652-2734
Phone
(201) 845-7110
Fax
(201) 909-8618
NPI assigned
Sep 1, 2005
Last updated
Mar 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 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 3508 NJ Primary

Addresses

Primary practice location

22 Madison Ave
Paramus, NJ 07652-2734

Mailing address

1 Courter Rd
Franklin Lakes, NJ 07417-1813
Phone (201) 891-1747

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
I20100220000062 NJ Practitioner - Optometry 0345384939 Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3508NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204934400000",
    "number": "1548254808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COURTER RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171813",
            "telephone_number": "201-891-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MADISON AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522734",
            "telephone_number": "201-845-7110",
            "fax_number": "201-909-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLOT",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.