Individual provider Active NPI

Morgan Reinelle Coiro, OD

  • Optometrist
  • Bayonne, NJ
National Provider Identifier
1902472244
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
PENDING Issued in NJ
Practice address
802 Bayonne Crossing Way
Bayonne, NJ 07002-5308
Phone
(201) 858-5615
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X PENDING NJ Primary

Addresses

Primary practice location

802 Bayonne Crossing Way
Bayonne, NJ 07002-5308

Mailing address

802 Bayonne Crossing Way
Bayonne, NJ 07002-5308
Phone (201) 858-5615

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922003726 NJ Practitioner - Optometry 4284019589 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGNJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Aug 22, 2022 Accepting new patients
Charles M Cummins, OD, PA Optometrist CurrentSince Aug 22, 2022 Accepting new patients

Locations

802 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 858-5615

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

1255 Raritan Rd
Unit 740
Clark, NJ 07066
Phone (732) 388-4035

251 Clifton Ave
Clifton, NJ 07011
Phone (973) 340-2300

125 18th St
Ste A5
Jersey City, NJ 07310
Phone (551) 276-5462

120 Route 22
Springfield, NJ 07081
Phone (973) 379-5063

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1902472244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BAYONNE CROSSING WAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025308",
            "telephone_number": "201-858-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 BAYONNE CROSSING WAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025308",
            "telephone_number": "201-858-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COIRO",
        "first_name": "MORGAN",
        "middle_name": "REINELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.