Active NPI
Eye Center of Elizabeth LLC
- Ophthalmology Physician
- Elizabeth, NJ
National Provider Identifier
1578072930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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 DirectoryLocations
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.