Active NPI
Allan I Marcus, OD
- Optometrist
- Jersey City, NJ
National Provider Identifier
1669538609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00352100
- Practice address
- 50 Mall Dr W
Jersey City, NJ 07310-1601 - Phone
- (201) 222-2423
- Fax
- (201) 420-1750
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 9, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00352100 | NJ | Primary |
Addresses
Primary practice location
50 Mall Dr W
Jersey City, NJ 07310-1601
Mailing address
353 Blanketflower LN
Princeton Junction, NJ 08550-2437
Phone (609) 371-0805
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 |
|---|---|---|---|
| 27OA00352100 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America 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": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669538609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 BLANKETFLOWER LN",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085502437",
"telephone_number": "609-371-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MALL DR W",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101601",
"telephone_number": "201-222-2423",
"fax_number": "201-420-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "ALLAN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00352100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.