Active NPI
Esther Huang, OD
- Optometrist
- Englewood, NJ
National Provider Identifier
1760456693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00575700
- Practice address
- 106 Grand Ave
4TH Floor
Englewood, NJ 07631-3574 - Phone
- (201) 541-9494
- Fax
- (201) 871-7382
- NPI assigned
- Feb 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00575700 | NJ | Primary |
Addresses
Primary practice location
106 Grand Ave
4TH Floor
Englewood, NJ 07631-3574
Mailing address
106 Grand Ave
4TH Floor
Englewood, NJ 07631-3574
Phone (201) 541-9494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080438 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00575700 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wizard of Eyes of 116 St Inc | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Englewood, NJ
- NPI 1770751505
-
- Optometrist
- New York, NY
- NPI 1952419053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760456693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 GRAND AVE",
"address_2": "4TH FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313574",
"telephone_number": "201-541-9494",
"fax_number": "201-871-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 GRAND AVE",
"address_2": "4TH FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313574",
"telephone_number": "201-541-9494",
"fax_number": "201-871-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "ESTHER",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00575700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0080438",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.