Emily Shtull, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009352-01 Issued in NY

Practice address

3130 Grand Concourse
Bronx, NY 10458-1213

Phone

(718) 741-3200

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Mark Fromer, MD PC

  dba Fromer Eye Centers

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1194851774
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1023781960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W 54TH ST APT 526",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195058",
            "telephone_number": "347-968-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "718-741-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100657369",
            "country_code": "US",
            "telephone_number": "212-832-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHTULL",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009352-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shashwat Shrivastava, MD
• Trisha Shroff
• Shanel Shropshire, RN
• Nancy Shtarkman
• Angela Shtern, MD
• Tiffany Shu, MD
• Asana Shuaibu
• Ubaida Shuaibu
• Kateryna Shuba, PA
• Hannah Shubowitz

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.