Active NPI
Stephen Alan Kowalsky, OD
- Optometrist
- Sparta, NJ
National Provider Identifier
1700880341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00390300
- Practice address
- 21 Lafayette Rd
Suite C
Sparta, NJ 07871-3575 - Phone
- (973) 729-7755
- Fax
- (973) 729-0677
- NPI assigned
- Jun 10, 2005
- 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 | 27OA00390300 | NJ | Primary |
Addresses
Primary practice location
21 Lafayette Rd
Suite C
Sparta, NJ 07871-3575
Mailing address
21 Lafayette Rd
Suite C
Sparta, NJ 07871-3575
Phone (973) 729-7755
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1700880341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 LAFAYETTE RD",
"address_2": "SUITE C",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078713575",
"telephone_number": "973-729-7755",
"fax_number": "973-729-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 LAFAYETTE RD",
"address_2": "SUITE C",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078713575",
"telephone_number": "973-729-7755",
"fax_number": "973-729-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKY",
"first_name": "STEPHEN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00390300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.