Individual provider Active NPI

Shoshana Pinsky, O.D.

  • Optometrist
  • Clifton, NJ
National Provider Identifier
1780960971
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA-00631800 Issued in NJ
Practice address
1161 Main Ave
Clifton, NJ 07011-2243
Phone
(973) 685-7280
Fax
(973) 685-7281
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA-00631800 NJ Primary
Optometrist 152W00000X 27OM-00103600 NJ

Addresses

Primary practice location

1161 Main Ave
Clifton, NJ 07011-2243

Mailing address

1161 Main Ave
Clifton, NJ 07011-2243
Phone (973) 685-7280

Other names 1

  • Miss Shoshana Ungar Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130806000313 NJ Practitioner - Optometry 2062654981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Optometry LLCGroup PAC ID 2062790439, 5 clinicians

Practice addresses (Care Compare)

348 Main St
Hackensack, NJ 07601-5803
Phone (201) 342-4255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA-00631800NJMDOptometrist
27OM-00103600NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Terrylee Maimone O.D, P.C Optometrist Past Accepting new patients
Bergen Optometry Group, PA Optometrist PastSince Dec 18, 2017 Accepting new patients
Maimone Vision Associates, LLC Optometrist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1780960971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112243",
            "telephone_number": "973-685-7280",
            "fax_number": "973-685-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112243",
            "telephone_number": "973-685-7280",
            "fax_number": "973-685-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "SHOSHANA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA-00631800",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM-00103600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOSHANA",
            "last_name": "UNGAR",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.