Active NPI
Arthur Bukhatetsky, O.D
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007179
- Practice address
- 519 5TH Ave
Brooklyn, NY 11215-4807 - Phone
- (718) 768-1020
- Fax
- (718) 768-1050
- NPI assigned
- Jul 13, 2007
- Last updated
- Apr 5, 2010
- 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 | 007179 | NY | Primary |
Addresses
Primary practice location
519 5TH Ave
Brooklyn, NY 11215-4807
Mailing address
519 5TH Ave
Brooklyn, NY 11215-4807
Phone (718) 768-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02892506 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
519 5TH Ave
Brooklyn, NY 11215-7372
Phone (718) 768-1020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Seven Two Optics Corp. | Optometrist | Past | Accepting new patients |
| Bensonhurst Family Vision Corp. | Optometrist | Past | Accepting new patients |
| Vip Optical, Inc. | Past | Accepting new patients | |
| Bensonhurst Family Vision Corp. | Past | Accepting new patients | |
| Modern Physician Services PC | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 924-2232
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Interoperability endpoints
- abukhatetsky1253508@nychhc.direct-ci.com
- https://fhir4.healow.com/fhir/r4/CHFABD
Organizations & group practices 8
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.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Optometrist
- Brooklyn, NY
- NPI 1447228333
-
- Eyewear Supplier
- Brooklyn, NY
- NPI 1659742922
-
dba ModernMD Urgent Care
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1932590601
-
- Optician
- Brooklyn, NY
- NPI 1548496797
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coney Island Hospital
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1073712675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154807",
"telephone_number": "718-768-1020",
"fax_number": "718-768-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154807",
"telephone_number": "718-768-1020",
"fax_number": "718-768-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKHATETSKY",
"first_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02892506",
"state": "NY"
}
],
"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 Apr 5, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.