Provider Demographics
NPI:1053314658
Name:LONSK, STUART MARTIN (OD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:MARTIN
Last Name:LONSK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 RARITAN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-2445
Mailing Address - Country:US
Mailing Address - Phone:908-241-5777
Mailing Address - Fax:908-241-6690
Practice Address - Street 1:579 RARITAN RD
Practice Address - Street 2:SUITE A
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-2445
Practice Address - Country:US
Practice Address - Phone:908-241-5777
Practice Address - Fax:908-241-6690
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00299300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K3117OtherHEALTHNET
NJNJ02993OtherVISON BENEFITS OF AMERICA
NJ1053314658OtherMULTIPLAN
NJ1053314658OtherHORIZON
1053314658OtherHEALTHNET
1053314658OtherMEDICARE NPI
0126000001OtherDMERC
NJ1053314658OtherUNITED HEALTHCARE
NJ40421OtherAETNA
NJP819554OtherOXFORD
NJNJ02993OtherVISON BENEFITS OF AMERICA