Individual provider Active NPI

Carmela Losurdo, O.D.

  • Optometrist
  • Livingston, NJ
National Provider Identifier
1740348572
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00598702 Issued in NJ
Practice address
200 S Orange Ave
Suite 209
Livingston, NJ 07039-5817
Phone
(973) 322-0100
NPI assigned
Dec 5, 2006
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00598702 NJ Primary

Addresses

Primary practice location

200 S Orange Ave
Suite 209
Livingston, NJ 07039-5817

Mailing address

899 Valley Rd
Wayne, NJ 07470-2973
Phone (201) 621-1459

Other identifiers 1

IdentifierTypeStateIssuer
0084875MedicaidNJ

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
I20051213000381 NJ Practitioner - Optometry 3375561558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

23 Howe Ave
Passaic, NJ 07055-4001
Phone (973) 777-7600

418 38TH St
Suite 1
Union City, NJ 07087-4999
Phone (201) 867-0199

57 Main St
Hackensack, NJ 07601-7001
Phone (201) 242-8785

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00598702NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC CurrentSince Aug 3, 2020 Accepting new patients

Locations

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

57 Main St
Hackensack, NJ 07601
Phone (201) 242-8785

17 Academy St
Newark, NJ 07102
Phone (973) 624-2090

23 Howe Ave
Passaic, NJ 07055
Phone (973) 777-7600

1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1740348572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702973",
            "telephone_number": "201-621-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "SUITE 209",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSURDO",
        "first_name": "CARMELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00598702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084875",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.