Active NPIOrganization

Jada LLC

Eyewear Supplier (Equipment, not the service) in Ridgewood, New Jersey

NPI Number1790970093
Practice location
21 Oak St, Ridgewood, NJ 07450
Fax
201-445-7111
Last updated
August 27, 2009

Jada LLC is a healthcare organization based in Ridgewood, NJ. Jada LLC practices in Ridgewood, NJ. The NPI Number for Jada LLC is 1790970093 and holds a License No. D-1282 (NJ). The current practice location address for Jada LLC is 21 Oak St, Ridgewood, NJ 07450 and can be reached out via phone at 201-445-3189 and via fax at 201-445-7111.

Provider Profile Details

NPI Number
1790970093
Provider Name
Jada LLC
Provider Entity Type
Organization
Address
21 Oak St, Ridgewood, NJ 07450
Phone Number
201-445-3189
Fax Number
201-445-7111
Primary Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X
Organization Subpart
No
Authorized Official
Mr. Don M Axelband, LICENSED OPTICIAN · Owner / Optician · 201-445-3189
Other Names
Levato And Gaudiomonte Opticians (Doing Business As)
Provider Enumeration Date
September 10, 2007
Last Update Date
August 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Oak St
Ridgewood, NJ 07450
Zip
07450
Phone Number
201-445-3189
Fax Number
201-445-7111
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
21 Oak St
Levato & Gaudiomonte Opticians
Ridgewood, NJ 07450-3805
City
Ridgewood
State
NJ
Zip
07450-3805
Phone Number
201-445-3189
Fax Number
201-445-7111

License Information

License Number (1)
D-1282
License State (1)
NJ
Taxonomy (1)
Technician/Technologist, Optician · 156FX1800X
License Number (2)
D-1282
License State (2)
NJ
Taxonomy (2)
Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary

Legacy Identifiers

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

Other Eyewear Supplier (Equipment, not the service) providers near Ridgewood, NJ

View all Eyewear Supplier (Equipment, not the service) providers in Ridgewood →

Frequently Asked Questions

What is the NPI number of Jada LLC?

The NPI number of Jada LLC is 1790970093. It was assigned on September 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Jada LLC?

Jada LLC is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X), licensed in NJ under license number D-1282.

Where does Jada LLC practice?

The practice location is 21 Oak St, Ridgewood, NJ 07450. The office can be reached at 201-445-3189 (phone) or 201-445-7111 (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 1790970093 directly on the NPPES registry website.

Browse related providers