Organization Active NPI

Pascack Valley Ophthalmology Assoc PA

  • Ophthalmology Physician
  • Westwood, NJ
National Provider Identifier
1649324377
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA02359100 Issued in NJ
Legal business name
PASCACK VALLEY OPHTHALMOLOGY ASSOC PA
Practice address
400 Old Hook Rd
Westwood, NJ 07675-2732
Phone
(201) 664-8989
Fax
(201) 664-5106
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Norman Steinbaum, MD
Title
Physician Ophthalmologist
Phone
(201) 664-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA02359100 NJ Primary

Addresses

Primary practice location

400 Old Hook Rd
Westwood, NJ 07675-2732

Mailing address

400 Old Hook Rd
Westwood, NJ 07675-2732
Phone (201) 664-8989

Other identifiers 1

IdentifierTypeStateIssuer
2894602MedicaidNJ

National Provider Directory

National Provider Directory

Locations

400 Old Hook Rd
Westwood, NJ 07675
Phone (201) 261-9445

400 Old Hook Rd
Ste 1-3
Westwood, NJ 07675
Phone (201) 573-9266

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1649324377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752732",
            "telephone_number": "201-664-8989",
            "fax_number": "201-664-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752732",
            "telephone_number": "201-664-8989",
            "fax_number": "201-664-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCACK VALLEY OPHTHALMOLOGY ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "STEINBAUM",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PHYSICIAN OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "201-664-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02359100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2894602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.