Individual provider Active NPI

John Andrew Szczepanski, O.D.

  • Optometrist
  • Laurel Springs, NJ
National Provider Identifier
1801991898
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00385500 Issued in NJ
Practice address
59 Meadowyck Dr
Laurel Springs, NJ 08021-4876
Phone
(856) 783-2023
Fax
(856) 783-8323
NPI assigned
Sep 14, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00385500 NJ Primary
Optometrist 152W00000X 27TO00034200 NJ

Addresses

Primary practice location

59 Meadowyck Dr
Laurel Springs, NJ 08021-4876

Mailing address

59 Meadowyck Dr
Laurel Springs, NJ 08021-4876
Phone (856) 783-2023

Other identifiers 1

IdentifierTypeStateIssuer
1481207MedicaidNJ

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
I20041208000008 NJ Practitioner - Optometry 3375509797 Practice locations: Laurel Springs, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

59 Meadowyck Dr
Laurel Springs, NJ 08021-4876
Phone (609) 783-2023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00385500NJMDOptometrist
27TO00034200NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1801991898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MEADOWYCK DR",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080214876",
            "telephone_number": "856-783-2023",
            "fax_number": "856-783-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MEADOWYCK DR",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080214876",
            "telephone_number": "856-783-2023",
            "fax_number": "856-783-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZEPANSKI",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00385500",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00034200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1481207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

Verify at the official NPI Registry.