Active NPI
Marta Fabrykowski, O.D
- Optometrist
- New York, NY
National Provider Identifier
1003102161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007693-1
- Practice address
- 210 E 64TH St
New York, NY 10065-7471 - Phone
- (212) 838-9200
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007693-1 | NY | Primary |
Addresses
Primary practice location
210 E 64TH St
New York, NY 10065-7471
Mailing address
210 E 64TH St
New York, NY 10065-7471
Phone (212) 838-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007693-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1003102161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 64TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657471",
"telephone_number": "212-838-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 64TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657471",
"telephone_number": "212-838-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRYKOWSKI",
"first_name": "MARTA",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007693-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.