DR. JOHN JACOB DAUB IV O.D.
NPI 1396254751
Optometrist in Rutherford, NJ
About Dr. John Jacob Daub Iv O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN JACOB DAUB IV O.D. (NPI 1396254751) is an individual optometrist in Rutherford, New Jersey, licensed in New Jersey (27OA00674800) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John Jacob Daub Iv O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Daub reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rutherford, NJ 07070
- Reassigned Medicare billing, New Jersey enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUTHERFORD, NJ 07070
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Daub's NPI number?
The NPI number for John Daub is 1396254751. It was assigned to this individual provider in the NPPES registry on September 28, 2017.
Where is John Daub located?
John Daub practices at 31 Park Ave, Rutherford, NJ 07070. The listed phone number is (201) 939-2463.
What is John Daub's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is John Daub enrolled in Medicare?
Yes. John Daub is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Daub's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Daub reassigns Medicare benefits to Dr. Robert Schorn Purnell LLC (Rutherford, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Daub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Daub accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list John Daub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Daub was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John Jacob Daub IV, O.D. · NPI 1396254751
Optometrist provider in Rutherford, New Jersey. Individual provider, active in the CMS NPPES registry since September 28, 2017.
## Identity
- **NPI:** 1396254751 (Entity type: Individual)
- **Enumerated:** September 28, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OA00674800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 31 PARK AVE, Rutherford, NJ 07070-1711
- **Phone:** (201) 939-2463
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dr. Robert Schorn Purnell LLC (NPI 1972756757, Rutherford, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396254751) · Data from the CMS NPPES public registry.