Jennifer Megan Peterson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00703000 Issued in NJ

Practice address

485 Route-1 S Building a
Woodbridge, NJ 08830

Phone

(989) 225-4668

NPI assigned

May 13, 2021

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jenn.peterson.p1@direct.omnieyeservices.nextgenshare.com

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.

• Custom Vision Services LLC

  • Ambulatory Surgical Clinic/Center
  • Rochester, MI
  • NPI 1568197820
  NPD
• Omni Eye Surgery of New York PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1598748659
  NPD
• Rochester Ophthalmology, PLLC

  dba Michigan Ophthalmology

  • Ophthalmology Physician
  • Rochester, MI
  • NPI 1023583564
  NPD

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1881268092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 STATE RT 17 N STE 6",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623398",
            "telephone_number": "201-368-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 ROUTE-1 S BUILDING A",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "989-225-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JENNIFER",
        "middle_name": "MEGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00703000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jpeterson",
            "affiliation": "N",
            "address_1": "485 Route-1 S Building A",
            "city": "Woodbridge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pennreach
• Genesis Naomy Perez
• Pablo Perez
• Perry Dental and TMJ Center, Inc
• Personalized Serenity Counseling Services
• Brian Philipson, D.C.
• Lexis Phillips, DDS
• Physical Therapy Sports Rehab
• Francis Pierre
• Laurie Ann Pino, MOT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.