Individual provider Active NPI

Maria I Cardona, O.D.

  • Optometrist
  • Paramus, NJ
National Provider Identifier
1568526234
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00512400 Issued in NJ
Practice address
74 S Paramus Rd
Paramus, NJ 07652-1232
Phone
(201) 712-0101
Fax
(201) 712-0123
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00512400 NJ Primary

Addresses

Primary practice location

74 S Paramus Rd
Paramus, NJ 07652-1232

Mailing address

74 S Paramus Rd
Paramus, NJ 07652-1232
Phone (201) 712-0101

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
I20070509000229 NJ Practitioner - Optometry 2466558382 Practice locations: Paramus, NJ; Maplewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 Maplewood Ave
Maplewood, NJ 07040-2532
Phone (973) 762-5343

74 S Paramus Rd
Paramus, NJ 07652-1232
Phone (201) 712-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1568526234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 S PARAMUS RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521232",
            "telephone_number": "201-712-0101",
            "fax_number": "201-712-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 S PARAMUS RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521232",
            "telephone_number": "201-712-0101",
            "fax_number": "201-712-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "MARIA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00512400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.