Individual provider Active NPI

Amy L Covucci

  • Optometrist
  • Newton, NJ
National Provider Identifier
1891782843
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA 05593 Issued in NJ
Practice address
11 Lawrence Rd
Newton, NJ 07860-2794
Phone
(973) 579-3937
Fax
(973) 579-9825
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Lawrence Rd
Suite 4
Newton, NJ 07860-2794
Phone (973) 579-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050726000269 NJ Practitioner - Optometry 5193752772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA 05593NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Eye Care, L.L.C. Optometrist CurrentSince Nov 29, 2011 Accepting new patients
Paul Naftali O D P a PastSince Dec 4, 1991 Accepting new patients
Agg Optical Inc. Optometrist Past Accepting new patients

Locations

11 Lawrence Rd
Newton, NJ 07860
Phone (973) 300-0002

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA 05593 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

11 Lawrence Rd
Newton, NJ 07860-2794

Mailing address

11 Lawrence Rd
Newton, NJ 07860-2794
Phone (973) 579-3937

Other identifiers 8

NPPES NPI Registry
IdentifierTypeStateIssuer
NJ5593OtherNJEYEMED
043601321OtherNHQUALCARE
P2524564OtherNJOXFORD
043601321OtherNJBLUE CROSS/BLUESHIELD
2275569OtherNJUNITED HEALTHCARE
2K2438OtherNJHEALTHNET
3381874OtherNJCIGNA
2832276OtherNJAETNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2010.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1891782843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAWRENCE RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602794",
            "telephone_number": "973-579-3937",
            "fax_number": "973-579-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LAWRENCE RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602794",
            "telephone_number": "973-579-3937",
            "fax_number": "973-579-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVUCCI",
        "first_name": "AMY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 05593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NJ5593",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE",
            "identifier": "043601321",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2524564",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD",
            "identifier": "043601321",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2275569",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K2438",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3381874",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2832276",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.