Active NPI
Stephen a. Kowalsky, O.D.
- Optometrist
- Sparta, NJ
National Provider Identifier
1730133950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00390300
- 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
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) | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0999202 | Medicaid | NJ |
Other names 1
- Family Vision Care
National Provider Directory
National Provider DirectoryLocations
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.