Provider Demographics
NPI:1922152982
Name:CINDRARIO, JAMES A (OPTOMETRIST)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:CINDRARIO
Suffix:
Gender:M
Credentials:OPTOMETRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1462 VAN HOUTEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2426
Mailing Address - Country:US
Mailing Address - Phone:201-493-8817
Mailing Address - Fax:201-493-8118
Practice Address - Street 1:286 MARKET ST
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2014
Practice Address - Country:US
Practice Address - Phone:201-493-8817
Practice Address - Fax:201-493-8118
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00518300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0494502OtherAETNA ID
NJU36865OtherMEDICARE UPIN
NJ311228OtherNVA
NJ5357101Medicaid
NJ5357101Medicaid