Organization Active NPI

Jada LLC

  • Eyewear Supplier
  • Ridgewood, NJ
National Provider Identifier
1790970093
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
D-1282 Issued in NJ
Legal business name
JADA LLC
Doing business as
Levato and Gaudiomonte Opticians
Practice address
21 Oak St
Ridgewood, NJ 07450
Phone
(201) 445-3189
Fax
(201) 445-7111
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Mr. Don M Axelband, LICENSED OPTICIAN
Title
Owner / Optician
Phone
(201) 445-3189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X D-1282 NJ
Eyewear Supplier 332H00000X D-1282 NJ Primary

Addresses

Primary practice location

21 Oak St
Ridgewood, NJ 07450

Mailing address

21 Oak St
Levato & Gaudiomonte Opticians
Ridgewood, NJ 07450-3805
Phone (201) 445-3189

Other names 1

  • Levato and Gaudiomonte Opticians Doing business as

National Provider Directory

National Provider Directory

Locations

21 Oak St
Ridgewood, NJ 07450
Phone (201) 445-3189

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1790970093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OAK ST",
            "address_2": "LEVATO & GAUDIOMONTE OPTICIANS",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503805",
            "telephone_number": "201-445-3189",
            "fax_number": "201-445-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OAK ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-445-3189",
            "fax_number": "201-445-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "AXELBAND",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / OPTICIAN",
        "authorized_official_telephone_number": "201-445-3189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "D-1282",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "D-1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levato and Gaudiomonte Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.