Active NPI
Abdullah Taher, OD
- Optometrist
- Staten Island, NY
National Provider Identifier
1073493953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 011256
- Practice address
- 2655 Richmond Ave
Staten Island, NY 10314-5821 - Phone
- (718) 698-6020
- Fax
- (718) 698-4486
- NPI assigned
- Sep 3, 2025
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 011256 | NY | Primary |
Addresses
Primary practice location
2655 Richmond Ave
Staten Island, NY 10314-5821
Mailing address
53 Elmwood Ave
Carteret, NJ 07008-2135
Phone (848) 247-9368
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011256 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1073493953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 ELMWOOD AVE",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070082135",
"telephone_number": "848-247-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145821",
"telephone_number": "718-698-6020",
"fax_number": "718-698-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHER",
"first_name": "ABDULLAH",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "011256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.