FRED A PODBIELAK (NPI# 1437369667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437369667 |
| Entity Type | Individual |
| Full Name | FRED A PODBIELAK |
| Credential | OPTHALMIC DISPENSER |
| Practice Address |
701 Newark Ave Ste 204 Elizabeth NJ 07208-3550 |
| Practice Telephone | 9083552774 |
| Practice Fax Number | 9083551185 |
| Mailing Telephone | 9083552774 |
| Mailing Fax Number | 9083551185 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
TD-2296 | NJ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6777104 | 05 |
| Street Address |
701 NEWARK AVE STE 204 |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07208-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251616 | Rekha Sharma | Internal Medicine | 701 Newark Ave, Suite # Ll4, Elizabeth, NJ 07208-3550 | 2005-08-10 |
| 1699081547 | Peter Waran Longa | Nurse Practitioner | 701 Newark Ave, Suite 101, Elizabeth, NJ 07208-3550 | 2010-08-28 |
| 1104031939 | Elizabeth Pediatric Group, LLC | Pediatrics | 701 Newark Ave, Suite 212, Elizabeth, NJ 07208-3550 | 2007-05-14 |
| 1811023922 | Rekha Sharma Md Pa | Internal Medicine | 701 Newark Ave, Suite Ll4, Elizabeth, NJ 07208-3550 | 2007-02-25 |
| 1609945393 | Paula L Clinton | Dietetic Technician, Registered | 701 Newark Ave, Elizabeth, NJ 07208-3550 | 2006-11-07 |
| 1154422178 | Samuel Kahnowitz | Internal Medicine | 701 Newark Ave, Suite 201, Elizabeth, NJ 07208-3550 | 2006-09-25 |
| 1649288044 | Spinecare Chiropractic Rehab Center,pa | Chiropractor | 701 Newark Ave, Suite Ll-10, Elizabeth, NJ 07208-3550 | 2006-08-03 |
| 1285650226 | Kenneth James Davis | Pediatrics | 701 Newark Ave, Suite 212, Elizabeth, NJ 07208-3550 | 2006-07-14 |
| 1447201025 | Richard A Inacio | Chiropractor | 701 Newark Ave, Suite Ll-10, Elizabeth, NJ 07208-3550 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225591571 | Real House Inc | Clinic/Center | 419-421 Westminster Ave, Elizabeth, NJ 07208 | 2019-04-12 |
| 1548736531 | Conscientiamd | Psychiatry & Neurology | 650-652 Newark Avenue, 1st Floor, Elizabeth, NJ 07208 | 2018-10-17 |
| 1093292492 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Road, Ground Floor, Elizabeth, NJ 07208 | 2018-07-27 |
| 1457736092 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Rd, Elizabeth, NJ 07208 | 2015-07-24 |
| 1811318595 | Terrell N Alston | Social Worker | 644 Salem Ave 2b, Elizabeth, NJ 07208 | 2013-12-23 |
| 1316220759 | Anarita Delacruz | Massage Therapist | 570 North Broad Street, Suite 10, Elizabeth, NJ 07208 | 2011-09-22 |
| 1972820041 | Pain Center of Morris | Chiropractor | 332 Morris Ave., Elizabeth, NJ 07208 | 2010-04-28 |
| 1760696512 | Elizabeth Public Schools | Local Education Agency (LEA) | 27 Prince Street, 2nd. Floor, Elizabeth, NJ 07208 | 2007-05-10 |
| 1437288339 | Kathleen E. Russo | Social Worker | Jewish Family Services, 655 Westfield Ave., Elizabeth, NJ 07208 | 2007-03-05 |
| 1649337171 | Springfield Pediatrics, P.a. | Pediatrics | 435 Elmora Avenue, Elizabeth, NJ 07208 | 2007-01-03 |
| Find all providers in zip 07208 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467570820 | Nazco Optical LLC | Technician/Technologist | 421 Morris Ave, Elizabeth, NJ 07208-3612 | 2007-03-26 |
| 1427099126 | Kat Eyes Inc | Technician/Technologist | 210 Elizabeth St, #b, Elizabeth, CO 80107-7538 | 2006-06-10 |
| 1700017951 | Jersey Gardens Optical, Lll | Technician/Technologist | 651 Kapkowski Rd, Suite 1236, Elizabeth, NJ 07201-4901 | 2009-08-06 |
| 1124133145 | Valery Naymagon | Technician/Technologist | 240 Williamson St, Suite 505, Elizabeth, NJ 07202-3674 | 2006-08-20 |
| 1255445839 | Precision Optical, LLC | Technician/Technologist | 240 Williamson St, Suite 505, Elizabeth, NJ 07202-3674 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1104442375 | Nishaya Mcnair | Technician/Technologist | 31 W Orchard St Apt 2, Somerville, NJ 08876-1654 | 2020-06-23 |
| 1164980819 | National Vision Inc | Technician/Technologist | 306 Route 9 N, Woodbridge, NJ 07095-1004 | 2019-03-12 |
| 1427520329 | National Vision Inc | Technician/Technologist | 310 State Route 36 Ste 804, West Long Branch, NJ 07764-1027 | 2018-12-18 |
| 1629545983 | Mark Pawloski | Technician/Technologist | 453 New Brunswick Ave, Fords, NJ 08863-2134 | 2018-10-25 |
| 1023584091 | Adam Louis Johnson | Technician/Technologist | 399 N Main St Ste C, Manahawkin, NJ 08050-3069 | 2018-10-17 |
| 1699272591 | National Vision, Inc. | Technician/Technologist | 3077 Route 46, Parsippany, NJ 07054-1233 | 2018-04-09 |
| 1346747227 | National Vision, Inc. | Technician/Technologist | 134 Kingsland Rd Ste 3, Clifton, NJ 07014-1915 | 2018-04-09 |
| 1396241139 | National Vision, Inc. | Technician/Technologist | 200 Passaic Street, Garfield, NJ 07026 | 2018-04-02 |
| 1851809651 | National Vision, Inc. | Technician/Technologist | 2101 State Route 35, Holmdel, NJ 07733-1085 | 2018-01-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FRED A PODBIELAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.