Individual provider Active NPI

Martin Bucharowski, O.D.

  • Optometrist
  • Garfield, NJ
National Provider Identifier
1659755973
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00660900 Issued in NJ
Practice address
160 Lanza Ave
Ste 7
Garfield, NJ 07026-3551
Phone
(973) 594-6599
NPI assigned
Jul 16, 2015
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00660900 NJ Primary

Addresses

Primary practice location

160 Lanza Ave
Ste 7
Garfield, NJ 07026-3551

Mailing address

160 Lanza Ave
Ste 7
Garfield, NJ 07026-3551
Phone (973) 594-6599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914002419 NJ Practitioner - Optometry 7911214671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 Lanza Ave
Suite 7
Garfield, NJ 07026-3551
Phone (973) 594-6599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00660900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bucharowski LLC Optometrist CurrentSince Feb 2, 2016 Accepting new patients

Locations

160 Lanza Ave
Ste 7
Garfield, NJ 07026
Phone (973) 594-6599

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1659755973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LANZA AVE",
            "address_2": "STE 7",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070263551",
            "telephone_number": "973-594-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LANZA AVE",
            "address_2": "STE 7",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070263551",
            "telephone_number": "973-594-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHAROWSKI",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00660900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

Verify at the official NPI Registry.