John J Dzurenda, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

27TO00047500 Issued in NJ

Practice address

1508 Willowbrook Mall
Wayne, NJ 07470

Phone

(973) 890-0861

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Vue EyecareGroup PAC ID 3375918493, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Modern Vue Eyecare

  • Clinic/Center
  • Wayne, NJ
  • NPI 1750002069
  Medicare reassignment Care Compare group NPD
• Garden State Eye Group, Inc.

  • Optometrist
  • Springfield, NJ
  • NPI 1740606649
  Medicare reassignment NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1740344217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GROAH RD",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361303",
            "telephone_number": "973-428-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WILLOWBROOK MALL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-890-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZURENDA",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27TO00047500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Diana Dunitz
• Mary Ellen Dupre-Burns, LPC
• DWF Imaging LLC
• Cherise Dyal, MD
• Dyana Thompson Pmhnp-BC, LLC
• Eagle Medical Services, Inc
• Sandra C Eckstein, M.S.W.
• Gurbuz Edeer, DMD
• Natalie Cay Edelhauser, LCSW
• Jonathan Edelstien, DPM

• Corneal and Contact Management Optometrist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Corneal and Contact Management Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.