Individual provider Active NPI

Steve Nickelsberg

  • Optician
  • Ocean City, NJ
National Provider Identifier
1659411536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
NJ1504 Issued in NJ
Practice address
752 Asbury Ave
Ocean City, NJ 08226-3721
Phone
(609) 391-2121
NPI assigned
Feb 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NJ1504 NJ Primary

Addresses

Primary practice location

752 Asbury Ave
Ocean City, NJ 08226-3721

Mailing address

752 Asbury Ave
Ocean City, NJ 08226-3721
Phone (609) 391-2121

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
NJ1504NJMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean City Vision Center Past Accepting new patients
Ocvc, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659411536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 ASBURY AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263721",
            "telephone_number": "609-391-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 ASBURY AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263721",
            "telephone_number": "609-391-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELSBERG",
        "first_name": "STEVE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "NJ1504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.