Active NPI
Robert Gene Kirczow, O.D.
- Corneal and Contact Management Optometrist
- Mendham, NJ
National Provider Identifier
1669507729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 03765
- Practice address
- 35 Phoenix Dr
Mendham, NJ 07945-1714 - Phone
- (973) 543-9789
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 03765 | NJ | Primary |
Addresses
Primary practice location
35 Phoenix Dr
Mendham, NJ 07945-1714
Mailing address
35 Phoenix Dr
Mendham, NJ 07945-1714
Phone (973) 543-9789
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03765 | NJ | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1669507729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PHOENIX DR",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079451714",
"telephone_number": "973-543-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 PHOENIX DR",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079451714",
"telephone_number": "973-543-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCZOW",
"first_name": "ROBERT",
"middle_name": "GENE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NJ",
"license": "03765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.