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DR. JOSEPH CERCONE
NPI 1962418509
Optometrist in Lyons, NJ

Active since August 01, 2006PECOS Enrolled
151 KNOLLCROFT RD, C/O EYE CLINIC, LYONS, NJ 07939(908) 647-0180(908) 604-5884 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph Cercone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH CERCONE (NPI 1962418509) is an individual optometrist in Lyons, New Jersey, licensed in New Jersey (4897) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962418509
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOSEPH CERCONE
Location Address151 KNOLLCROFT RD, C/O EYE CLINICLyons, NJ 07939-5001
Mailing Address151 Knollcroft Rd, C/o Eye ClinicLyons, NJ 07939-5001 · (908) 647-0180 · Fax (908) 604-5884
Phone(908) 647-0180
Fax(908) 604-5884
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962418509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 4897
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
151 KNOLLCROFT RD, Lyons, NJ 07939
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Other Identifiers 1

Medicare ID-Type UnspecifiedCE574807

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.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. Joseph Cercone is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Cercone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yekaterina Shteyn, Od, PC
12 mi
Medical Specialty
176 COLUMBIA TURNPIKE, COHEN'S FASHION OPTICAL
Florham Park, NJ 07932
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1992990477 (973) 994-1444

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 07939 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAKIMA A RAGO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (718) 404-4856
VANJ HEALTH CARE SYSTEM
General Acute Care Hospital
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 647-0180
YUN M LEE LMSW
Social Worker (Clinical)
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 647-0180
DR. IRA EMANUEL WISOTZEK PH.D.
Psychologist (Clinical)
151 KNOLLCROFT RD, MENTAL HEALTH AND BEHAVIORAL SCIENCE
LYONS, NJ 07939
Somerset County (908) 647-0180
DR. MALINDA A. CAFIERO-CHIN O.D.
Optometrist
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 647-0180
MRS. MICHELLE SHIMARA BENLOSS MSW
Social Worker
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 340-9137
RICHARD J. BYRNE JR. LSW
Social Worker
151 KNOLLCROFT RD, BLD 143CW
LYONS, NJ 07939
Somerset County (908) 647-0180
MS. JENNIFER DELPESCE LCSW
Social Worker (Clinical)
151 KNOLLCROFT RD
LYONS, NJ 07939
Somerset County (908) 647-0180

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 Joseph Cercone's NPI number?

The NPI number for Joseph Cercone is 1962418509. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Joseph Cercone located?

Joseph Cercone practices at 151 Knollcroft Rd C/O Eye Clinic, Lyons, NJ 07939. The listed phone number is (908) 647-0180.

What is Joseph Cercone's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Joseph Cercone enrolled in Medicare?

Yes. Joseph Cercone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Cercone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Cercone reassigns Medicare benefits to Yekaterina Shteyn, Od, PC (Florham Park, 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 Joseph Cercone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Cercone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Joseph Cercone 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 Joseph Cercone was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.