Yurij Trytjak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00357400 Issued in NJ

Practice address

232 Ryders Lane
Milltown, NJ 08850-1353

Phone

(732) 937-4700

NPI assigned

May 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 10

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Opti Eye Care LLC

  • Optometrist
  • Paterson, NJ
  • NPI 1053609305
  Medicare reassignment NPD
• Orange Eye Care Limited Liability Company

  • Optometrist
  • Orange, NJ
  • NPI 1730480849
  Medicare reassignment NPD
• Bergen Eye Care Clinic Limited Liabilty Company

  • Optometrist
  • Jersey City, NJ
  • NPI 1619277704
  NPD (past) Authorized official
• Opti-Design LLC

  • Optician
  • Paterson, NJ
  • NPI 1376831776
  NPD (past)
• Optical Kare LLC

  • Optician
  • Orange, NJ
  • NPI 1952573024
  NPD (past)
• Optical Palace LLC

  • Ophthalmic Technician/Technologist
  • Jersey City, NJ
  • NPI 1982751897
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871540732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2579",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070600579",
            "telephone_number": "732-937-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 RYDERS LANE",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501353",
            "telephone_number": "732-937-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYTJAK",
        "first_name": "YURIJ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00357400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "TT15964",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3631010",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K6048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "9620",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE",
            "identifier": "C67061",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "XXXXXX",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0224705000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - USH",
            "identifier": "0457754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "09952",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELER'S DMERC",
            "identifier": "0580000001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Ann Sjolund, D.O.
• Cheryl Joan Solomon, LCSW
• The Space Between Therapy & Comprehensive Psychological Services, LLC
• Monica Trivino
• Stacey Michelle Troicki, LCSW
• Caitlyn Tumulty
• Irene Norma Tutnauer, PT
• Leslie Young, LCSW
• Jill J Zheng, PHARM D.
• Qiying Zhou, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.