Active NPIIndividual provider

Brooke Goonetilleke-Alvarado, OD

Optometrist in Fair Lawn, New Jersey

NPI Number1790496826
Practice location
17-17 Route 208 Ste 350, Fair Lawn, NJ 07410-2819
Fax
833-760-1845
Last updated
March 16, 2026

Brooke Goonetilleke-Alvarado is an Optometrist based in Fair Lawn, NJ. Brooke Goonetilleke-Alvarado practices in Fair Lawn, NJ and has the professional credentials of OD. The NPI Number for Brooke Goonetilleke-Alvarado is 1790496826 and holds a License No. TUV009604-01 (NY). The current practice location address for Brooke Goonetilleke-Alvarado is 17-17 Route 208 Ste 350, Fair Lawn, NJ 07410-2819 and can be reached out via phone at 908-291-1036 and via fax at 833-760-1845.

Provider Profile Details

NPI Number
1790496826
Provider Name
Brooke Goonetilleke-Alvarado
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
17-17 Route 208 Ste 350, Fair Lawn, NJ 07410-2819
Phone Number
908-291-1036
Fax Number
833-760-1845
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
December 9, 2022
Last Update Date
March 16, 2026
Certification Date
March 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
17-17 Route 208 Ste 350
Fair Lawn, NJ 07410-2819
Zip
07410-2819
Phone Number
908-291-1036
Fax Number
833-760-1845
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104

License Information

License Number (1)
TUV009604-01
License State (1)
NY
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00714900
License State (2)
NJ
Taxonomy (2)
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 Brooke Goonetilleke-Alvarado, OD?

The NPI number of Brooke Goonetilleke-Alvarado, OD is 1790496826. It was assigned on December 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Brooke Goonetilleke-Alvarado, OD?

Brooke Goonetilleke-Alvarado, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number TUV009604-01.

Where does Brooke Goonetilleke-Alvarado, OD practice?

The practice location is 17-17 Route 208 Ste 350, Fair Lawn, NJ 07410-2819. The office can be reached at 908-291-1036 (phone) or 833-760-1845 (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 1790496826 directly on the NPPES registry website.

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