Active NPIIndividual provider

Dr. Jack S Mermelstein, OD

Optometrist in Fair Lawn, New Jersey

NPI Number1184643843
Practice location
4-14 Saddle River RD, Suite 202, Fair Lawn, NJ 07410-5632
Fax
201-797-5809
Last updated
July 8, 2007

Jack Sol Mermelstein is an Optometrist based in Fair Lawn, NJ. Jack Sol Mermelstein practices in Fair Lawn, NJ and has the professional credentials of OD. The NPI Number for Jack Sol Mermelstein is 1184643843 and holds a License No. 3650 (NJ). The current practice location address for Jack Sol Mermelstein is 4-14 Saddle River RD, Suite 202, Fair Lawn, NJ 07410-5632 and can be reached out via phone at 201-797-2747 and via fax at 201-797-5809.

Provider Profile Details

NPI Number
1184643843
Provider Name
Jack Sol Mermelstein
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
4-14 Saddle River RD, Suite 202, Fair Lawn, NJ 07410-5632
Phone Number
201-797-2747
Fax Number
201-797-5809
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4-14 Saddle River RD
Suite 202
Fair Lawn, NJ 07410-5632
Zip
07410-5632
Phone Number
201-797-2747
Fax Number
201-797-5809
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
4-14 Saddle River RD
Suite 202
Fair Lawn, NJ 07410-5632
City
Fair Lawn
State
NJ
Zip
07410-5632
Phone Number
201-797-2747
Fax Number
201-797-5809

License Information

License Number
3650
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jack S Mermelstein, OD?

The NPI number of Dr. Jack S Mermelstein, OD is 1184643843. It was assigned on July 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jack S Mermelstein, OD?

Dr. Jack S Mermelstein, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 3650.

Where does Dr. Jack S Mermelstein, OD practice?

The practice location is 4-14 Saddle River RD, Suite 202, Fair Lawn, NJ 07410-5632. The office can be reached at 201-797-2747 (phone) or 201-797-5809 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184643843 directly on the NPPES registry website.

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