Organization Active NPI

Glaucoma Institute of Northern New Jersey LLC

  • Specialist
  • Rochelle Park, NJ
National Provider Identifier
1801088562
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06435600 Issued in NJ
Legal business name
GLAUCOMA INSTITUTE OF NORTHERN NEW JERSEY LLC
Practice address
87 W Passaic St
Rochelle Park, NJ 07662-3213
Phone
(201) 343-3499
Fax
(201) 343-1799
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Paul J Lama, MDNPI 1033130315
Title
Owner
Phone
(201) 343-3499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA06435600 NJ Primary

Addresses

Primary practice location

87 W Passaic St
Rochelle Park, NJ 07662-3213

Mailing address

87 W Passaic St
Rochelle Park, NJ 07662-3213
Phone (201) 343-3499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071029000670 NJ Part B Supplier - Clinic/Group Practice 1456448042 Receives reassigned benefits from 3 practitioners
Practice locations: Rochelle Park, NJ; West Orange, NJ

National Provider Directory

National Provider Directory

Locations

140 Prospect Ave
Ste 12
Hackensack, NJ 07601
Phone (201) 343-3499

405 Northfield Ave
Ste LL8
West Orange, NJ 07052
Phone (201) 343-1566

Interoperability endpoints

  • Direct secure messaging: plama@glaucomainstitute.intellechartdirect.net
  • Direct secure messaging: ppendri@glaucomainstitute.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1801088562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623213",
            "telephone_number": "201-343-3499",
            "fax_number": "201-343-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623213",
            "telephone_number": "201-343-3499",
            "fax_number": "201-343-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA INSTITUTE OF NORTHERN NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "LAMA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-343-3499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06435600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.

Verify at the official NPI Registry.