Active NPI
Dr. Robert Schorn Purnell LLC
- Optometrist
- Rutherford, NJ
National Provider Identifier
1972756757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OM00041400
- Legal business name
- DR. ROBERT SCHORN PURNELL LLC
- Practice address
- 31 Park Ave
Rutherford, NJ 07070-1711 - Phone
- (201) 939-2463
- Fax
- (201) 939-1454
- NPI assigned
- Oct 24, 2008
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Robert Schorn Purnell, OD
- Title
- Owner/Dr
- Phone
- (201) 939-2463
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Rutherford, NJ
- NPI 1477089258
-
- Corneal and Contact Management Optometrist
- Rutherford, NJ
- NPI 1942698717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130520000023 | NJ | Part B Supplier - Clinic/Group Practice | 7113164757 |
Receives reassigned benefits from 3 practitioners Practice locations: Rutherford, NJ |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OM00041400 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
31 Park Ave
Rutherford, NJ 07070-1711
Mailing address
31 Park Ave
Rutherford, NJ 07070-1711
Phone (201) 939-2463
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1815202 | Medicaid | NJ | |
| 7714106 | Medicaid | NJ |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2013.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368057600000",
"number": "1972756757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 PARK AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701711",
"telephone_number": "201-939-2463",
"fax_number": "201-939-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 PARK AVE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070701711",
"telephone_number": "201-939-2463",
"fax_number": "201-939-1454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. ROBERT SCHORN PURNELL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-24",
"last_updated": "2013-05-09",
"status": "A",
"authorized_official_last_name": "PURNELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SCHORN",
"authorized_official_title_or_position": "OWNER/DR",
"authorized_official_telephone_number": "201-939-2463",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OM00041400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1815202",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7714106",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.