Individual provider Active NPI

Chaneve Jeanniton, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1023316429
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
260895 Issued in NY
Practice address
310 E 14TH St
New York, NY 10003-4201
Phone
(212) 979-4000
NPI assigned
Mar 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 260895 NY Primary

Addresses

Primary practice location

310 E 14TH St
New York, NY 10003-4201

Mailing address

185 Washington Park # 2
Brooklyn, NY 11205-4007
Phone (917) 805-3795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000598 NY Practitioner - Ophthalmology 3072786391 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Gerstenfeld & Gerstenfeld M D S P C Ophthalmology CurrentSince May 16, 2017 Accepting new patients
Stamford Ophthalmology, LLC Ophthalmology Past Accepting new patients
Island Eye Optical Corp. PastSince May 16, 2017 Accepting new patients

Locations

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

13420 Jamaica Ave
Fl 2
Richmond Hill, NY 11418

13420 Jamaica Ave
Fl 1
Richmond Hill, NY 11418
Phone (718) 206-6742

4299 Hylan Blvd
Staten Island, NY 10312
Phone (718) 984-7616

1500 Victory Blvd
Staten Island, NY 10301
Phone (718) 556-5550

Interoperability endpoints

  • Direct secure messaging: chj9088@direct.nyp.org
  • Direct secure messaging: cjeanniton82964@direct.medisys.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1023316429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WASHINGTON PARK # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054007",
            "telephone_number": "917-805-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034201",
            "telephone_number": "212-979-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANNITON",
        "first_name": "CHANEVE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "260895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.