Steven L Ehrenworth, O,D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00384500 Issued in NJ

Practice address

348 Main St
Hackensack, NJ 07601-5803

Phone

(201) 342-4255

NPI assigned

Jun 26, 2006

Last updated

May 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Bergen Optometry Group, PA

  • Optometrist
  • Hackensack, NJ
  • NPI 1679634208
  Authorized official Same address or phone
• Bergen Optometry, LLC

  • Optometrist
  • Hackensack, NJ
  • NPI 1780044958
  NPD (past)
• Totowa Eyecare LLC

  • Optometrist
  • Totowa, NJ
  • NPI 1619448446
  NPD (past)
• Ophthalmic Laboratory St Josephs Hospital Inc

  • Ophthalmology Physician
  • Tamap, FL
  • NPI 1700087822
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337385600000",
    "number": "1811924095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015803",
            "telephone_number": "201-342-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015803",
            "telephone_number": "201-342-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENWORTH",
        "first_name": "STEVEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O,D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00384500",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00046000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0611107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lolita Edwards, RN
• Caitlin Egan, MD
• Edward J Egan, MD
• Melanie Egay, PT
• Dana Ehrentreu, LSW
• Karen Eigen
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.
• Lisa Renee Eiland, M.D.

• Optometrist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.