Wyckoff Ophthalmology,LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA62183 Issued in NJ

Legal business name

WYCKOFF OPHTHALMOLOGY,LLC

Practice address

350 Franklin Ave
Wyckoff, NJ 07481-1909

Phone

(201) 891-0200

Fax

(201) 891-9388

NPI assigned

May 30, 2012

Last updated

Apr 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melanie A Sinatra, MDNPI 1043245954

Title

Owner

Phone

(201) 891-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wyckoff Ophthalmology, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wyckoff, NJ
  • NPI 1205007747

  7618098096

  Same PAC ID

Tax ID family

Wyckoff Ophthalmologyllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wyckoff Ophthalmology, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wyckoff, NJ
  • NPI 1205007747
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: msinatra@wyckoff.intellechartdirect.net
• Direct secure messaging: tdagostino@wyckoff.intellechartdirect.net

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie A Sinatra, M.D.F.A.C.S.

  • Optometrist
  • Wyckoff, NJ
  • NPI 1043245954
  Medicare reassignment Care Compare group NPD Authorized official
• Tyler D'Agostino

  • Optometrist
  • Wyckoff, NJ
  • NPI 1881379568

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Andrea B. Antonelli, O.D.

  • Optometrist
  • Montclair, NJ
  • NPI 1902110455
  Medicare reassignment NPD
• Warren Elliot Boardman, DMD

  • Dentist
  • Ridgewood, NJ
  • NPI 1427096924
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1619238326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811909",
            "telephone_number": "201-891-0200",
            "fax_number": "201-891-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811909",
            "telephone_number": "201-891-0200",
            "fax_number": "201-891-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF OPHTHALMOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "SINATRA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-891-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA62183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffani Michelle Winfrey
• Wyckoff Dental Associates, LLC
• Wyckoff Dental Spa LLC (Nuva Smile)
• Wyckoff Family YMCA
• Wyckoff Ophthalmology, LLC
• Wyckoff Optical, Inc. (James Tracey Eye Care)
• Wycoff-Nelson (Fyzical Therapy and Balance Centers)
• Mondana Sepahi Yazdi, M.D., F.A.A.P.
• Edward F Younghans, DPM
• Rafik Youssef, M.D.

• Ophthalmology Physician in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.