Active NPI
Ronald Martin Scielzo
- Optician
- Wayne, NJ
National Provider Identifier
1659427565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D-720
- Practice address
- 6 Preakness Shopping Ctr
Wayne, NJ 07470-5057 - Phone
- (973) 696-2120
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | D-720 | NJ | Primary |
Addresses
Primary practice location
6 Preakness Shopping Ctr
Wayne, NJ 07470-5057
Mailing address
6 Preakness Shopping Ctr
Wayne, NJ 07470-5057
Phone (973) 696-2120
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-720 | NJ | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Optical Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659427565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PREAKNESS SHOPPING CTR",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705057",
"telephone_number": "973-696-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PREAKNESS SHOPPING CTR",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705057",
"telephone_number": "973-696-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIELZO",
"first_name": "RONALD",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "D-720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, 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.