NPIMap

Individual provider Active NPI

Jeffrey Steven Zlotnick, O.D.

  • Optometrist
  • Edison, NJ
National Provider Identifier
1881689610
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27 OA 00289000 Issued in NJ
Practice address
5 Devon Rd
Edison, NJ 08820-2640
Phone
(732) 742-1954
Fax
(732) 549-3259
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27 OM 00012400 NJ
Corneal and Contact Management Optometrist 152WC0802X 27 OA 00289000 NJ
Low Vision Rehabilitation Optometrist 152WL0500X 27 OA 00289000 NJ
Pediatric Optometrist 152WP0200X 27 OA 00289000 NJ
Optometrist 152W00000X 27 OA 00289000 NJ Primary

Addresses

Primary practice location

5 Devon Rd
Edison, NJ 08820-2640

Mailing address

5 Devon Rd
Edison, NJ 08820-2640
Phone (732) 742-1954

Other identifiers 4

IdentifierTypeStateIssuer
226222938OtherNJFEDERAL ID #
0939200-01MedicaidNJ
P822470OtherNJOXFORD #
48557OtherNJAETNA #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
27 OM 00012400NJMDOptometrist
27 OA 00289000NJMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S. Zlotnick OD Optometrist PastSince Aug 14, 2003 Accepting new patients
In Focus Eyecare, PA Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1881689610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DEVON RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202640",
            "telephone_number": "732-742-1954",
            "fax_number": "732-549-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DEVON RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202640",
            "telephone_number": "732-742-1954",
            "fax_number": "732-549-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLOTNICK",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27 OM 00012400",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27 OA 00289000",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NJ",
            "license": "27 OA 00289000",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NJ",
            "license": "27 OA 00289000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27 OA 00289000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID #",
            "identifier": "226222938",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0939200-01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD #",
            "identifier": "P822470",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "48557",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.