Individual provider Active NPI

Angelo A Cervone, O.D.

  • Optometrist
  • Newton, NJ
National Provider Identifier
1992803605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05397 Issued in NJ
Practice address
128 Water St
The Optical Center
Newton, NJ 07860-1415
Phone
(973) 383-7410
Fax
(973) 383-3601
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05397 NJ Primary

Addresses

Primary practice location

128 Water St
The Optical Center
Newton, NJ 07860-1415

Mailing address

PO Box 174
Layton, NJ 07851-0173
Phone (973) 670-1523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221119000025 NJ Practitioner - Optometry 7315315520 Reassigns benefits to 1 organization
I20221122000863 PA Practitioner - Optometry 7315315520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Monroe Vision and Hearing Center IncGroup PAC ID 6901844778, 2 clinicians

Practice addresses (Care Compare)

1036 N 9TH St
Stroudsburg, PA 18360-1210
Phone (570) 421-2680

120 Hulst Dr
Matamoras, PA 18336-2116
Phone (570) 491-5454

46 Hampton House Rd
Newton, NJ 07860-1409
Phone (973) 383-3650

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05397NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Vision and Hearing Center, Inc. Optometrist CurrentSince Aug 15, 2022 Accepting new patients
The Optical Center Doctors Office of Newton LLC Optometrist CurrentSince Aug 15, 2022 Accepting new patients
Custom Eyes RX Inc CurrentSince Aug 15, 2022 Accepting new patients
Del Minelli Optical Center Inc. Past Accepting new patients

Locations

46 Hampton House Rd
Newton, NJ 07860
Phone (973) 383-3650

46 Hampton House Rd
#206
Newton, NJ 07860

120 Hulst Dr
Matamoras, PA 18336
Phone (570) 491-5454

1036 N 9th St
Stroudsburg, PA 18360
Phone (570) 421-2680

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992803605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "LAYTON",
            "state": "NJ",
            "postal_code": "078510173",
            "telephone_number": "973-670-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WATER ST",
            "address_2": "THE OPTICAL CENTER",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601415",
            "telephone_number": "973-383-7410",
            "fax_number": "973-383-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVONE",
        "first_name": "ANGELO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "05397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.