Shazzatul Reza, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009451 Issued in NY

Practice address

3416 Jerome Ave
Bronx, NY 10467-1002

Phone

(718) 325-3160

NPI assigned

Sep 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1184394108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LAKE ST APT 5C",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033848",
            "telephone_number": "773-614-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671002",
            "telephone_number": "718-325-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA",
        "first_name": "SHAZZATUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla M Reynoso, LMSW
• Sary Reynoso, LMHC
• Sheila Patricia Reynoso
• Yalissa Steffany Reynoso, MSED
• Reza Chowdhury Medical PC
• Andrew Rezk, MD
• Adel Reznik
• Irina Reznik
• Marina Reznik, MD
• Sandra E Reznik, MD

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.