NPIMap

Organization Active NPI

James Aversa OD PA

  • Optometrist
  • Hasbrouck Heights, NJ
National Provider Identifier
1760790042
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00457100 Issued in NJ
Legal business name
JAMES AVERSA OD PA
Practice address
227 1/2 Blvd
Hasbrouck Heights, NJ 07604-1901
Phone
(201) 288-1109
Fax
(201) 288-1589
NPI assigned
Sep 20, 2010
Last updated
Sep 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. James John Aversa, ODNPI 1710957998
Title
Owner
Phone
(201) 288-1109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA00457100 NJ Primary

Addresses

Primary practice location

227 1/2 Blvd
Hasbrouck Heights, NJ 07604-1901

Mailing address

227 1/2 Blvd
Hasbrouck Heights, NJ 07604-1901
Phone (201) 288-1109

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1760790042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 1/2 BLVD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041901",
            "telephone_number": "201-288-1109",
            "fax_number": "201-288-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 1/2 BLVD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041901",
            "telephone_number": "201-288-1109",
            "fax_number": "201-288-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES AVERSA OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "AVERSA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-288-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00457100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.