Individual provider Active NPI

Scott Fuerman, OD

  • Optometrist
  • Pleasantville, NJ
National Provider Identifier
1841315512
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA0434800 Issued in NJ
Practice address
55 E Black Horse Pike
Pleasantville, NJ 08232-2759
Phone
(609) 641-2330
NPI assigned
Mar 20, 2007
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA0434800 NJ Primary

Addresses

Primary practice location

55 E Black Horse Pike
Pleasantville, NJ 08232-2759

Mailing address

55 E Black Horse Pike
Pleasantville, NJ 08232-2759
Phone (609) 641-2330

Other identifiers 1

IdentifierTypeStateIssuer
2180901MedicaidNJ

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
I20100903000611 NJ Practitioner - Optometry 5890682462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 E Black Horse Pike
Pleasantville, NJ 08232-2759
Phone (856) 691-0720

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA0434800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry M Fuerman OD & Scott a Fuerman OD PTR Optometrist CurrentSince Jun 17, 1992 Accepting new patients

Locations

17 S New York Ave
Atlantic City, NJ 08401
Phone (609) 347-2020

55 E Black Horse Pike
Pleasantville, NJ 08232
Phone (609) 641-2330

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1841315512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322759",
            "telephone_number": "609-641-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322759",
            "telephone_number": "609-641-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERMAN",
        "first_name": "SCOTT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA0434800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.