Active NPI
Joel B. Rose, OD
- Occupational Vision Optometrist
- South Plainfield, NJ
National Provider Identifier
1760549554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- 27TO00072600
- Practice address
- 1510 Park Ave
South Plainfield, NJ 07080-5521 - Phone
- (908) 756-4880
- Fax
- (908) 757-8004
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27TO00072600 | NJ | |
| Corneal and Contact Management Optometrist | 152WC0802X | 27TO00072600 | NJ | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 27TO99972600 | NJ | |
| Pediatric Optometrist | 152WP0200X | 27TO00072600 | NJ | |
| Sports Vision Optometrist | 152WS0006X | 27TO00072600 | NJ | |
| Vision Therapy Optometrist | 152WV0400X | 27TO00072600 | NJ | |
| Occupational Vision Optometrist | 152WX0102X | 27TO00072600 | NJ | Primary |
Addresses
Primary practice location
1510 Park Ave
South Plainfield, NJ 07080-5521
Mailing address
1510 Park Ave.
South Plainfield, NJ 07080
Phone (908) 756-4880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014605-01 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050726000197 | NJ | Practitioner - Optometry | 1456388024 | Practice locations: S Plainfield, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1510 Park Ave
South Plainfield, NJ 07080-5521
Phone (908) 337-1196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27TO00072600 | NJ | MD | Corneal and Contact Management Optometrist |
| 27TO99972600 | NJ | MD | Low Vision Rehabilitation Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1760549554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 PARK AVE.",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "07080",
"telephone_number": "908-756-4880",
"fax_number": "908-757-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805521",
"telephone_number": "908-756-4880",
"fax_number": "908-757-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "JOEL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27TO00072600",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NJ",
"license": "27TO00072600",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NJ",
"license": "27TO99972600",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NJ",
"license": "27TO00072600",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "NJ",
"license": "27TO00072600",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NJ",
"license": "27TO00072600",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "NJ",
"license": "27TO00072600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014605-01",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.