Provider Demographics
NPI:1114061579
Name:SCHINDEL, JOEL (OD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:SCHINDEL
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 1:360 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3151
Mailing Address - Country:US
Mailing Address - Phone:201-836-6229
Mailing Address - Fax:201-836-5182
Practice Address - Street 1:360 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3151
Practice Address - Country:US
Practice Address - Phone:201-836-6229
Practice Address - Fax:201-836-5182
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27TO00032600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0458755OtherAETNA
410009398OtherRAIL ROAD MEDICARE
P84529OtherOXFORD
C31731OtherEMPIRE
NJ1653407Medicaid
0458755OtherAETNA
NJ1653407Medicaid