Individual provider Active NPI

Nisha Arvind Chaudhari, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1568072379
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009236 Issued in NY
Practice address
87 Nassau St
New York, NY 10038-3710
Phone
(732) 977-6521
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00699000 NJ
Optometrist 152W00000X 009236 NY Primary

Addresses

Primary practice location

87 Nassau St
New York, NY 10038-3710

Mailing address

21 Kristen CT
Matawan, NJ 07747-9687
Phone (732) 977-6521

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
I20201027002390 NJ Practitioner - Optometry 6901225580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

414 Eagle Rock Ave
Suite 206a
West Orange, NJ 07052-4224
Phone (973) 325-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00699000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chaudhari Family Eyecare Inc Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Dr Gary a Eagle LLC Optometrist CurrentSince Oct 30, 2020 Accepting new patients
Old Bridge Family Eyecare LLC Current Accepting new patients

Locations

3384 US Highway 9
Old Bridge, NJ 08857
Phone (732) 402-8800

414 Eagle Rock Ave
Ste 206A
West Orange, NJ 07052
Phone (973) 325-0500

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1568072379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 KRISTEN CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479687",
            "telephone_number": "732-977-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 NASSAU ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383710",
            "telephone_number": "732-977-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "NISHA",
        "middle_name": "ARVIND",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00699000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.