Active NPI
Michael Ashurov, OD
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
National Provider Identifier
1033801303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1302 Kings Hwy
Brooklyn, NY 11229-1970 - Phone
- (718) 376-2020
- NPI assigned
- May 24, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1302 Kings Hwy
Brooklyn, NY 11229-1970
Mailing address
2000 Kings Hwy Apt 5a
Brooklyn, NY 11229-1416
Phone (347) 206-5930
Other practice location 1
2504 Flatbush Ave
Brooklyn, NY 11234-5128
Phone (718) 258-2020
Other practice location 2
922A Flatbush Ave
Brooklyn, NY 11226-4018
Phone (718) 521-2020
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Ridge Vision Center LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Brooklyn, NY
- NPI 1083140206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1033801303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 KINGS HWY APT 5A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291416",
"telephone_number": "347-206-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291970",
"telephone_number": "718-376-2020"
}
],
"practiceLocations": [
{
"address_1": "2504 Flatbush Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112345128",
"country_code": "US",
"telephone_number": "718-258-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "922A Flatbush Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112264018",
"country_code": "US",
"telephone_number": "718-521-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASHUROV",
"first_name": "MICHAEL",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.