Sandra Kantorek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00368600 Issued in NJ

Practice address

1485 Morris Ave
Union, NJ 07083-6332

Phone

(908) 687-3433

Fax

(908) 687-0589

NPI assigned

Sep 16, 2005

Last updated

Sep 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1588659437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836332",
            "telephone_number": "908-687-3433",
            "fax_number": "908-687-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836332",
            "telephone_number": "908-687-3433",
            "fax_number": "908-687-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOREK",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00368600",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "TPA 27TO00029600",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00047500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID",
            "identifier": "F09898",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS & BLUE SHIELD OF NJ",
            "identifier": "222209011",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC ID",
            "identifier": "C7E921",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA U.S. HEATHCARE ID",
            "identifier": "545317",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT-WEST HEALTH ID",
            "identifier": "334259",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MEDICARE",
            "identifier": "410006990",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN ID",
            "identifier": "P479247",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID",
            "identifier": "6500580",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Y Jung, MSAT, ATC
• Robbie Juste, LSW
• JV Serenity NJ LLC
• Randolph Kahn, M.D.
• Mitchel B Kaiser, D.C.
• David E Kantrowitz, MD
• Jeenal Kapadia
• Tara Kapleau, LPC
• Karen Sciaraffa
• Jesse Karpman, MD

• Optometrist in Union, NJ
• Providers in Union, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.