Provider Demographics
NPI:1386184232
Name:SARIPELLA, ANKITA (OD)
Entity Type:Individual
Prefix:DR
First Name:ANKITA
Middle Name:
Last Name:SARIPELLA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3826
Mailing Address - Country:US
Mailing Address - Phone:201-823-3998
Mailing Address - Fax:201-823-2181
Practice Address - Street 1:590 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3826
Practice Address - Country:US
Practice Address - Phone:201-823-3998
Practice Address - Fax:201-823-2181
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-26
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00672400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist