Active NPI
Steven J. Seidel, O.D.
- Optometrist
- Bergenfield, NJ
National Provider Identifier
1881685378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005671-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01712078 | Medicaid | NY | |
| 7667604 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MO, IN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005671-1 | NY | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.