Individual provider Active NPI

Simon Greenstein

  • Optician
  • North Bergen, NJ
National Provider Identifier
1871285122
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
31TD00181500 Issued in NJ
Practice address
2100 88TH St
North Bergen, NJ 07047-4709
Phone
(201) 758-2895
Fax
(201) 758-2897
NPI assigned
May 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 31TD00181500 NJ Primary

Addresses

Primary practice location

2100 88TH St
North Bergen, NJ 07047-4709

Mailing address

2100 Linwood Ave Apt 15N
Fort Lee, NJ 07024-3153
Phone (201) 681-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31TD00181500NJMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1871285122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LINWOOD AVE APT 15N",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243153",
            "telephone_number": "201-681-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 88TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474709",
            "telephone_number": "201-758-2895",
            "fax_number": "201-758-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSTEIN",
        "first_name": "SIMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00181500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.