MEDICARE: DR. EMILY MARIE LOCASCIO OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	27OA00737200	NJ

General Provider Information

NPI Number	:	1457245490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY MARIE LOCASCIO OD

Provider Business Mailing Address
First Line	:	1858 73RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5746
Country	:	US
Telephone Number	:	917-216-3459
Fax Number	:

Provider Business Practice Location Address
First Line	:	6951 US HIGHWAY 9 STE 1
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3766
Country	:	US
Telephone Number	:	732-994-0442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	09/05/2025

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