Organization Active NPI

Steven E. Croucher, O.D. & Gabrielle Nitti, O.D.

  • Optometrist
  • Montclair, NJ
National Provider Identifier
1770571580
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AO 04024 Issued in NJ
Legal business name
STEVEN E. CROUCHER, O.D. & GABRIELLE NITTI, O.D.
Practice address
77 Park St
Montclair, NJ 07042-2962
Phone
(973) 746-5665
Fax
(973) 746-0422
NPI assigned
Oct 6, 2005
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Dr. Steven E. Croucher, O.D.NPI 1487649356
Title
Partner
Phone
(973) 746-5665

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
Optometrist 152W00000X AO 04024 NJ Primary

Addresses

Primary practice location

77 Park St
Montclair, NJ 07042-2962

Mailing address

77 Park St
Montclair, NJ 07042-2962
Phone (973) 746-5665

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1770571580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422962",
            "telephone_number": "973-746-5665",
            "fax_number": "973-746-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422962",
            "telephone_number": "973-746-5665",
            "fax_number": "973-746-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E. CROUCHER, O.D. & GABRIELLE NITTI, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "CROUCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-746-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "AO 04024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.