Active NPIIndividual provider

Dr. Frank Derienzo, OD

Optometrist, Occupational Vision in Jersey City, New Jersey

NPI Number1215987888
Practice location
123 River Drive, Jersey City, NJ 07310-1615
Fax
201-798-6021
Last updated
April 19, 2019

Frank Derienzo is an Optometrist, Occupational Vision based in Jersey City, NJ. Frank Derienzo practices in Jersey City, NJ and has the professional credentials of OD. The NPI Number for Frank Derienzo is 1215987888 and holds a License No. 27OA000470600 (NJ). The current practice location address for Frank Derienzo is 123 River Drive, Jersey City, NJ 07310-1615 and can be reached out via phone at 201-222-3937 and via fax at 201-798-6021.

Provider Profile Details

NPI Number
1215987888
Provider Name
Frank Derienzo
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
123 River Drive, Jersey City, NJ 07310-1615
Phone Number
201-222-3937
Fax Number
201-798-6021
Primary Taxonomy
Optometrist, Occupational Vision · 152WX0102X
Sole Proprietor
No
Provider Enumeration Date
May 12, 2006
Last Update Date
April 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 River Drive
Jersey City, NJ 07310-1615
Zip
07310-1615
Phone Number
201-222-3937
Fax Number
201-798-6021
Jersey City, NJ 07310Get directions →

Provider Business Mailing Address Details

Address
123 River Drive
Jersey City, NJ 07310-1615
City
Jersey City
State
NJ
Zip
07310-1615
Phone Number
201-222-3937
Fax Number
201-798-6021

License Information

License Number (1)
27OA000470600
License State (1)
NJ
Taxonomy (1)
Optometrist, Occupational Vision · 152WX0102X · Primary
License Number (2)
TUV004989
License State (2)
NY
Taxonomy (2)
Optometrist · 152W00000X

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. Frank Derienzo, OD?

The NPI number of Dr. Frank Derienzo, OD is 1215987888. It was assigned on May 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Frank Derienzo, OD?

Dr. Frank Derienzo, OD is registered under the primary taxonomy Optometrist, Occupational Vision (code 152WX0102X), licensed in NJ under license number 27OA000470600.

Where does Dr. Frank Derienzo, OD practice?

The practice location is 123 River Drive, Jersey City, NJ 07310-1615. The office can be reached at 201-222-3937 (phone) or 201-798-6021 (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 1215987888 directly on the NPPES registry website.

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