Organization Active NPI

Dr Bucharowski LLC

  • Optometrist
  • Garfield, NJ
National Provider Identifier
1851759708
Registry record updated Feb 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00660900 Issued in NJ
Legal business name
DR BUCHAROWSKI LLC
Practice address
160 Lanza Ave Ste 7
Garfield, NJ 07026-3551
Phone
(973) 594-6599
NPI assigned
Feb 7, 2016
Last updated
Feb 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2016

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

Authorized official

Name
Dr. Martin BucharowskiNPI 1659755973
Title
Physician
Phone
(973) 594-6599

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 270A00660900 NJ Primary

Addresses

Primary practice location

160 Lanza Ave Ste 7
Garfield, NJ 07026-3551

Mailing address

160 Lanza Ave Ste 7
Garfield, NJ 07026-3551
Phone (973) 594-6599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160328000119 NJ Part B Supplier - Clinic/Group Practice 5799082483 Receives reassigned benefits from 1 practitioner
Practice locations: Garfield, NJ

National Provider Directory

National Provider Directory

Locations

160 Lanza Ave
Ste 7
Garfield, NJ 07026
Phone (973) 594-6599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1851759708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LANZA AVE STE 7",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070263551",
            "telephone_number": "973-594-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LANZA AVE STE 7",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070263551",
            "telephone_number": "973-594-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BUCHAROWSKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "BUCHAROWSKI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-594-6599",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00660900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.