Individual provider Active NPI

Attefa Sultani Delgiodice, O.D. F.A.A.O

  • Optometrist
  • Clifton, NJ
National Provider Identifier
1740444975
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00624400 Issued in NJ
Practice address
1033 Clifton Ave
Clifton, NJ 07013-3517
Phone
(973) 472-6405
Fax
(973) 472-4835
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007332 NY
Optometrist 152W00000X 27OA00624400 NJ Primary

Addresses

Primary practice location

1033 Clifton Ave
Clifton, NJ 07013-3517

Mailing address

44 Alder Dr
Ramsey, NJ 07446-2307
Phone (917) 495-6832

Other identifiers 1

IdentifierTypeStateIssuer
03162618MedicaidNY

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
I20110127001105 NJ Practitioner - Optometry 9537224126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Regional Eye Care PAGroup PAC ID 2567443781, 4 clinicians

Practice addresses (Care Compare)

284 N Franklin Tpke
Ramsey, NJ 07446-1629
Phone (201) 327-3006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00624400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Eye Care PC CurrentSince Apr 1, 2021 Accepting new patients
Renal Medicine Associates, PA PastSince Apr 1, 2021 Accepting new patients

Locations

302 Union St
Hackensack, NJ 07601
Phone (201) 646-9090

Organizations & group practices 3

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1740444975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ALDER DR",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462307",
            "telephone_number": "917-495-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "973-472-6405",
            "fax_number": "973-472-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANI DELGIODICE",
        "first_name": "ATTEFA",
        "name_prefix": "Dr.",
        "credential": "O.D. F.A.A.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007332",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00624400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03162618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.