Individual provider Active NPI

Roxanne Deborah Joseph, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1124165238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T00VUT5861 Issued in NY
Practice address
115 Chambers Street
New York, NY 10007
Phone
(212) 766-4452
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T00VUT5861 NY Primary

Addresses

Primary practice location

115 Chambers Street
New York, NY 10007

Mailing address

616 Autumn Avenue
Brooklyn, NY 11208
Phone (718) 341-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090716000058 NY Practitioner - OptometryPractitioner - Ophthalmology 7517019912 Reassigns benefits to 1 organization
I20250121002804 NJ Practitioner - Optometry 7517019912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles M Cummins, OD, PAGroup PAC ID 0446246995, 24 clinicians

Practice addresses (Care Compare)

588 Route 70
Suite 9
Brick, NJ 08723-4023
Phone (732) 864-0755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T00VUT5861NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M Cummins, OD, PA Optometrist CurrentSince Nov 27, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Nov 27, 2024 Accepting new patients
Empire Vision Center, Inc CurrentSince Aug 16, 2021 Accepting new patients
Hear & See Right Inc Optometrist Past Accepting new patients
Podiatry Options P.C. Past Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

3501 Route 42
Unit 500
Turnersville, NJ 08012
Phone (856) 463-5780

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

1125 Arsenal St
Watertown, NY 13601
Phone (315) 786-0133

Organizations & group practices 6

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124165238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 AUTUMN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11208",
            "telephone_number": "718-341-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHAMBERS STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-766-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ROXANNE",
        "middle_name": "DEBORAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T00VUT5861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.