Individual provider Active NPI

Doreen Helen Caridi, O,D,

  • Optometrist
  • Ledgewood, NJ
National Provider Identifier
1871741611
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005389 Issued in NJ
Practice address
1 Howard Blvd
Ledgewood, NJ 07852-9507
Phone
(973) 252-0945
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005389 NJ Primary

Addresses

Primary practice location

1 Howard Blvd
Ledgewood, NJ 07852-9507

Mailing address

1 Howard Blvd
Ledgewood, NJ 07852-9507

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
005389NJMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1871741611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOWARD BLVD",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOWARD BLVD",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529507",
            "telephone_number": "973-252-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIDI",
        "first_name": "DOREEN",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "O,D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "005389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.