Active NPI
Noelda Karen Fernandes, O.D
- Pediatric Optometrist
- New York, NY
National Provider Identifier
1093196404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- TUV008389-1
- Practice address
- 33 W 42ND St
New York, NY 10036-8005 - Phone
- (212) 938-4000
- NPI assigned
- Jun 11, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | TUV008389-1 | NY | Primary |
Addresses
Primary practice location
33 W 42ND St
New York, NY 10036-8005
Mailing address
33 W 42ND St
New York, NY 10036-8005
Phone (212) 938-4000
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 |
|---|---|---|---|
| TUV008389-1 | NY | MD | Pediatric Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1093196404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100368005",
"telephone_number": "212-938-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100368005",
"telephone_number": "212-938-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES",
"first_name": "NOELDA",
"middle_name": "KAREN",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NY",
"license": "TUV008389-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.