Individual provider Active NPI

Lauren Rosato, OD

  • Optometrist
  • Ridgewood, NJ
National Provider Identifier
1568024016
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00689200 Issued in NJ
Practice address
190 Dayton St Ste 2
Ridgewood, NJ 07450-4425
Phone
(201) 444-3173
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00689200 NJ Primary
Optometrist 152W00000X 008994 NY

Addresses

Primary practice location

190 Dayton St Ste 2
Ridgewood, NJ 07450-4425

Mailing address

190 Dayton St Ste 2
Ridgewood, NJ 07450-4425
Phone (201) 444-3173

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
I20190814003600 NJ Practitioner - Optometry 5092042937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Eye and Ear, LLCGroup PAC ID 6002174737, 28 clinicians

Practice addresses (Care Compare)

23 W Palisade Ave
Englewood, NJ 07631-2705
Phone (201) 408-4441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00689200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Eyecare, LLC Optometrist CurrentSince Jul 10, 2019 Accepting new patients
NJ Eye and Ear LLC CurrentSince Sep 22, 2025 Accepting new patients
High Mountain Eyecare, LLC Optometrist CurrentSince Jul 10, 2019 Accepting new patients
Clifton Eye Care LLC Past Accepting new patients

Locations

1016 Main Ave
Clifton, NJ 07011
Phone (973) 546-5700

23 W Palisade Ave
Englewood, NJ 07631
Phone (201) 408-4441

33 Sicomac Rd
Ste 2
North Haledon, NJ 07508

33 Sicomac Rd
North Haledon, NJ 07508
Phone (973) 427-0300

33 Sicomac Rd
Ste 204
North Haledon, NJ 07508
Phone (973) 427-7801

190 Dayton St
Ste 2
Ridgewood, NJ 07450
Phone (201) 444-3173

Interoperability endpoints

  • Direct secure messaging: drrosato@njeyeandear.direct.eyemdemr.com

Organizations & group practices 4

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1568024016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 DAYTON ST STE 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504425",
            "telephone_number": "201-444-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 DAYTON ST STE 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504425",
            "telephone_number": "201-444-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSATO",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00689200",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.