Organization Active NPI

J Falco OD LLC

  • Optometrist
  • Green Brook, NJ
National Provider Identifier
1992167605
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
J FALCO OD LLC
Practice address
255 US Highway 22
Green Brook, NJ 08812-1807
Phone
(732) 752-6222
NPI assigned
Mar 22, 2016
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Jamie Falco
Title
Owner
Phone
(732) 752-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

255 US Highway 22
Green Brook, NJ 08812-1807

Mailing address

255 US Highway 22
Green Brook, NJ 08812-1807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170105001661 NJ Part B Supplier - Clinic/Group Practice 5496036477 Receives reassigned benefits from 2 practitioners
Practice locations: Green Brook, NJ

National Provider Directory

National Provider Directory

Locations

159 US Highway 22
Green Brook, NJ 08812
Phone (732) 752-6222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1992167605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 US HIGHWAY 22",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 US HIGHWAY 22",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121807",
            "telephone_number": "732-752-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J FALCO OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-752-6222"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.

Verify at the official NPI Registry.