NPIMap

Organization Active NPI

Shandor Zelenger, O.D., P.C.

  • Low Vision Rehabilitation Optometrist
  • New York, NY
National Provider Identifier
1134390644
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
TUV006017 Issued in NY
Legal business name
SHANDOR ZELENGER, O.D., P.C.
Practice address
225 Broadway
Suite 1015
New York, NY 10007-3001
Phone
(718) 265-0201
Fax
(212) 748-1285
NPI assigned
Mar 13, 2008
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Shandor Zelenger, O.D.NPI 1437128808
Title
President
Phone
(917) 586-9092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X TUV006017 NY Primary

Addresses

Primary practice location

225 Broadway
Suite 1015
New York, NY 10007-3001

Mailing address

225 Broadway
Suite 1015
New York, NY 10007-3001
Phone (718) 265-0201

Other identifiers 1

IdentifierTypeStateIssuer
02010548MedicaidNY

National Provider Directory

National Provider Directory

Locations

225 Broadway
Ste 1015
New York, NY 10007

25 Bialystoker Pl
New York, NY 10002
Phone (212) 673-8500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1134390644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "SUITE 1015",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001",
            "telephone_number": "718-265-0201",
            "fax_number": "212-748-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "SUITE 1015",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001",
            "telephone_number": "718-265-0201",
            "fax_number": "212-748-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDOR ZELENGER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "ZELENGER",
        "authorized_official_first_name": "SHANDOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-586-9092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "TUV006017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02010548",
            "state": "NY"
        }
    ],
    "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 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.