Individual provider Active NPI

Steven J. Seidel, O.D.

  • Optometrist
  • Bergenfield, NJ
National Provider Identifier
1881685378
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005671-1 Issued in NY
Practice address
42 Campeau PL
Bergenfield, NJ 07621-3324
Phone
(201) 244-0016
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005671-1 NY Primary

Addresses

Primary practice location

42 Campeau PL
Bergenfield, NJ 07621-3324

Mailing address

42 Campeau PL
Bergenfield, NJ 07621-3324
Phone (201) 244-0016

Other identifiers 2

IdentifierTypeStateIssuer
01712078MedicaidNY
7667604MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MO, IN, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040519001467 NY Practitioner - Optometry 6002806643 Practice locations: Far Rockaway, NY; Staten Island, NY
I20081229000239 MO Practitioner - Optometry 6002806643 Practice locations: Kansas City, MO; Saint Louis, MO; St Louis, MO
I20151001001747 IN Practitioner - Optometry 6002806643 Practice locations: Greenfield, IN; Highland, IN; Indianapolis, IN
I20160413000319 TX Practitioner - Optometry 6002806643 Practice locations: Georgetown, TX; Pflugerville, TX

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005671-1NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881685378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CAMPEAU PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213324",
            "telephone_number": "201-244-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CAMPEAU PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213324",
            "telephone_number": "201-244-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "STEVEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005671-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01712078",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7667604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

Verify at the official NPI Registry.