Provider Demographics
NPI:1629277207
Name:SCHEINGOLD, STEFANIE B (OD)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:B
Last Name:SCHEINGOLD
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 1:255 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1809
Mailing Address - Country:US
Mailing Address - Phone:973-785-8000
Mailing Address - Fax:973-785-9122
Practice Address - Street 1:255 ROUTE 46
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1809
Practice Address - Country:US
Practice Address - Phone:973-785-8000
Practice Address - Fax:973-785-9122
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007186152W00000X
NJ27OA00677300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist