Organization Active NPI

Stephen a. Kowalsky, O.D.

  • Optometrist
  • Sparta, NJ
National Provider Identifier
1730133950
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00390300 Issued in NJ
Legal business name
STEPHEN A. KOWALSKY, O.D.
Practice address
21 Lafayette Rd
Suite C
Sparta, NJ 07871-3575
Phone
(973) 729-7755
Fax
(973) 729-0677
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Dr. Stephen Alan Kowalsky, O.D.
Title
Owner
Phone
(973) 729-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other identifiers 1

IdentifierTypeStateIssuer
0999202MedicaidNJ

Other names 1

  • Family Vision Care Doing business as

National Provider Directory

National Provider Directory

Locations

21 Lafayette Rd
Ste C
Sparta, NJ 07871
Phone (973) 729-0291

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1730133950",
    "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": {
        "organization_name": "STEPHEN A. KOWALSKY, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "KOWALSKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-729-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00390300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0999202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.