Organization Active NPI

Eye Center of Elizabeth LLC

  • Ophthalmology Physician
  • Elizabeth, NJ
National Provider Identifier
1578072930
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CENTER OF ELIZABETH LLC
Practice address
219 S Broad St
Elizabeth, NJ 07202-3453
Phone
(908) 355-1237
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Authorized official

Name
Dr. Alessandra Bertolucci Cuppari, MD
Title
Principal
Phone
(908) 202-7324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

219 S Broad St
Elizabeth, NJ 07202-3453

Mailing address

219 S Broad St
Elizabeth, NJ 07202-3453
Phone (908) 355-1237

National Provider Directory

National Provider Directory

Locations

219 S Broad St
Ste 2
Elizabeth, NJ 07202
Phone (908) 352-5927

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1578072930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023453",
            "telephone_number": "908-355-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023453",
            "telephone_number": "908-355-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OF ELIZABETH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "BERTOLUCCI CUPPARI",
        "authorized_official_first_name": "ALESSANDRA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "908-202-7324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.