Individual provider Active NPI

Chelsea Cusenza, O.D

  • Optometrist
  • Rutherford, NJ
National Provider Identifier
1972987618
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00660800 Issued in NJ
Practice address
33 Lincoln Ave
Rutherford, NJ 07070-2167
Phone
(201) 438-4418
NPI assigned
Jul 13, 2015
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00660800 NJ Primary

Addresses

Primary practice location

33 Lincoln Ave
Rutherford, NJ 07070-2167

Mailing address

33 Lincoln Ave
Rutherford, NJ 07070-2167
Phone (201) 438-4418

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
I20151116001296 NJ Practitioner - Optometry 2466762851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marie R Levine ODGroup PAC ID 8729977491, 2 clinicians

Practice addresses (Care Compare)

33 Lincoln Ave
Rutherford, NJ 07070-2167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marie R Levine OD Optometrist CurrentSince Sep 16, 2015 Accepting new patients

Locations

33 Lincoln Ave
Rutherford, NJ 07070
Phone (201) 438-4418

33 Lincoln Ave
Ste 3
Rutherford, NJ 07070
Phone (201) 438-4418

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1972987618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LINCOLN AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702167",
            "telephone_number": "201-438-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LINCOLN AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702167",
            "telephone_number": "201-438-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSENZA",
        "first_name": "CHELSEA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00660800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.