Active NPI
Harvey Fred Weiss, O.D.
- Optometrist
- Oakland, NJ
National Provider Identifier
1891754479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3961
- Practice address
- 14 Elm St
Oakland, NJ 07436-1903 - Phone
- (201) 337-2227
- Fax
- (201) 337-1834
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3961 | NJ | Primary |
Addresses
Primary practice location
14 Elm St
Oakland, NJ 07436-1903
Mailing address
14 Elm St
Oakland, NJ 07436-1903
Phone (201) 337-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3337103 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050803000045 | NJ | Practitioner - Optometry | 5597793232 | Practice locations: Oakland, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3961 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony J Boni OD and Alicia N Dorman OD/PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Little Falls, NJ
- NPI 1346344868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345161600000",
"number": "1891754479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ELM ST",
"city": "OAKLAND",
"state": "NJ",
"postal_code": "074361903",
"telephone_number": "201-337-2227",
"fax_number": "201-337-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 ELM ST",
"city": "OAKLAND",
"state": "NJ",
"postal_code": "074361903",
"telephone_number": "201-337-2227",
"fax_number": "201-337-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "HARVEY",
"middle_name": "FRED",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2012-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "3961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3337103",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.