Edward Arthur Forszt Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0A4557 Issued in NJ

Practice address

5218 Bergenline Ave
West New York, NJ 07093-5524

Phone

(201) 974-2999

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Edward Arthur Forszt Jr. Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Broadway Optics Vision

  • Eyewear Supplier
  • Union City, NJ
  • NPI 1124575154
  NPD (past)
• DT Enterprises

  dba Allwood Optical

  • Durable Medical Equipment & Medical Supplies
  • Clifton, NJ
  • NPI 1770750960
  NPD (past)
• Inna Zimmerling, OD PC

  • Optometrist
  • Clifton, NJ
  • NPI 1689005696
  NPD (past)
• Mila Optometry, Inc

  • Optometrist
  • Nutley, NJ
  • NPI 1609149707
  NPD (past)
• PD Optics Inc

  • Eyewear Supplier
  • Bloomfield, NJ
  • NPI 1710168513
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1780883652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935524",
            "telephone_number": "201-974-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5218 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935524",
            "telephone_number": "201-974-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSZT",
        "first_name": "EDWARD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "0A4557",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "OA4557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5134102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5958154",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "FORSZT",
            "middle_name": "ARTHUR",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jorge J Figueroa, MD
• Christina F Fini, RD
• Leunnith Fioravante, SA-C
• Christopher Fiorillo, LMT
• Foot & Ankle Institute, LLC
• Bessie Bibiana Fouces, DMD
• Paul Andrew Fourounjian, DMD
• Velma Asneth Frasier, MSN,RN,APN-BC
• Emily Fried, BCBA
• Stephen William Friedman, O.D.

• Optometrist in West New York, NJ
• Providers in West New York, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.