Individual provider Active NPI

Jasmine Yen-Binh Nguyen

  • Optometrist
  • Bronx, NY
National Provider Identifier
1073351243
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
010028 Issued in NY
Practice address
3651 Bruckner Blvd
6TH FL
Bronx, NY 10461
Phone
(718) 823-9227
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 010028 NY Primary

Addresses

Primary practice location

3651 Bruckner Blvd
6TH FL
Bronx, NY 10461

Mailing address

5 Tudor City PL Apt 1414
New York, NY 10017-6872
Phone (832) 585-4128

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812003213 NY Practitioner - Optometry 4688112428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maculacare PLLCGroup PAC ID 6901881432, 3 clinicians

Practice addresses (Care Compare)

147 W 142ND St
FL 1
New York, NY 10030-1865
Phone (212) 281-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010028NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maculacare, PLLC CurrentSince Jun 30, 2025 Accepting new patients
Harooni & Sheindlin MD PC CurrentSince Aug 1, 2024 Accepting new patients
Medalliance Medical Health Services Inc Past Accepting new patients
Westchester Square Ophthalmology PC PastSince Jul 21, 2024 Accepting new patients

Locations

109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600

586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

Organizations & group practices 4

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": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1073351243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TUDOR CITY PL APT 1414",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176872",
            "telephone_number": "832-585-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 BRUCKNER BLVD",
            "address_2": "6TH FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-823-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JASMINE",
        "middle_name": "YEN-BINH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "010028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.