Individual provider Active NPI

Aqeela Batool Naqvi, OD

  • Optometrist
  • Shrewsbury, NJ
National Provider Identifier
1609507532
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00712900 Issued in NJ
Practice address
639 Broad St SPC S-17
Shrewsbury, NJ 07702-4150
Phone
(732) 534-3451
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00712900 NJ Primary

Addresses

Primary practice location

639 Broad St SPC S-17
Shrewsbury, NJ 07702-4150

Mailing address

47 State Route 33
Freehold, NJ 07728-2506
Phone (732) 780-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27OA00712900NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1609507532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 STATE ROUTE 33",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282506",
            "telephone_number": "732-780-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 BROAD ST SPC S-17",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024150",
            "telephone_number": "732-534-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAQVI",
        "first_name": "AQEELA",
        "middle_name": "BATOOL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-09-20",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00712900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.