| Organization Name: | EYECUITY OF NEW JERSEY |
| NPI Number: | 1013319052 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK JOSEPH LODESPOTO (OWNER) |
| Mailing Address: | 225 Passaic St Passaic |
| State: | NJ US |
| Postal Code: | 070556414 |
| Phone Number: | 2013358909 |
| Fax Number: | 8889723585 |
| NPI Enumeration Date: | 09/22/2014 |
| NPI Last Update Date: | 04/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0700X |
| License Number: | 25MA09300800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Neuroradiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |