Individual provider Active NPI

Tasnim Zakaria, OD

  • Optometrist
  • North Haledon, NJ
National Provider Identifier
1730762717
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA-00706200 Issued in NJ
Practice address
33 Sicomac Rd
North Haledon, NJ 07508-2971
Phone
(973) 427-7801
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA-00706200 NJ Primary

Addresses

Primary practice location

33 Sicomac Rd
North Haledon, NJ 07508-2971

Mailing address

33 Sicomac Rd
North Haledon, NJ 07508-2971
Phone (973) 427-7801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729002798 NJ Practitioner - Optometry 3375946254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Mountain Eyecare, LLCGroup PAC ID 7618923798, 3 clinicians

Practice addresses (Care Compare)

33 Sicomac Rd
North Haledon, NJ 07508-2971
Phone (973) 427-7801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA-00706200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Eyecare, LLC Optometrist CurrentSince Jul 9, 2021 Accepting new patients
High Mountain Eyecare, LLC Optometrist CurrentSince Jul 9, 2021 Accepting new patients

Locations

33 Sicomac Rd
North Haledon, NJ 07508
Phone (973) 427-0300

33 Sicomac Rd
Ste 204
North Haledon, NJ 07508
Phone (973) 427-7801

190 Dayton St
Ste 2
Ridgewood, NJ 07450
Phone (201) 444-3173

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1730762717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SICOMAC RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082971",
            "telephone_number": "973-427-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SICOMAC RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082971",
            "telephone_number": "973-427-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKARIA",
        "first_name": "TASNIM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA-00706200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haledon, NJ

Sources for this page

Verify at the official NPI Registry.