Active NPI
Bergen Optometry, LLC
- Optometrist
- Hackensack, NJ
National Provider Identifier
1780044958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BERGEN OPTOMETRY, LLC
- Practice address
- 348 Main St
Hackensack, NJ 07601-5803 - Phone
- (201) 342-4255
- Fax
- (201) 487-4886
- NPI assigned
- Mar 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joie Brody-Sendroff, OD
- Title
- Owner
- Phone
- (201) 342-4255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NJ | Primary |
Addresses
Primary practice location
348 Main St
Hackensack, NJ 07601-5803
Mailing address
348 Main St
Hackensack, NJ 07601-5803
Phone (201) 342-4255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
348 Main St
Hackensack, NJ 07601
Phone (201) 342-2767
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Passaic, NJ
- NPI 1962989632
-
- Optometrist
- Clifton, NJ
- NPI 1942722277
-
- Optometrist
- Hackensack, NJ
- NPI 1912059957
-
- Optometrist
- Clifton, NJ
- NPI 1780960971
-
- Optometrist
- Hackensack, NJ
- NPI 1811924095
-
- Optometrist
- Yonkers, NY
- NPI 1003460197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542067200000",
"number": "1780044958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015803",
"telephone_number": "201-342-4255",
"fax_number": "201-487-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015803",
"telephone_number": "201-342-4255",
"fax_number": "201-487-4886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERGEN OPTOMETRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-02",
"last_updated": "2018-11-13",
"status": "A",
"authorized_official_last_name": "BRODY-SENDROFF",
"authorized_official_first_name": "JOIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-342-4255",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
- Bergen Hand Specialists, Inc.
- Bergen Heart Associates, LLC
- Bergen Home Care and Nursing Inc
- Bergen Invasive Cardiovascular Consultants LLC
- Bergen Optometry Group, PA
- Bergen Oral Surgery Group PA
- Bergen Orthopedic and Spine Group, LLC
- Bergen Pain & Injury Center
- Bergen Post Acute Care, LLC (Hackensack Meridian Health Prospect Heights Care Center)
- Bergen Psychiatric Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.