Individual provider Active NPI

Alexander Joseph Kabiri, O.D.

  • Optometrist
  • Queens Village, NY
National Provider Identifier
1184725152
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006379 Issued in NY
Practice address
8787 Francis Lewis Blvd
Queens Village, NY 11427-2867
Phone
(718) 465-4999
Fax
(718) 217-6101
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006379 NY Primary

Addresses

Primary practice location

8787 Francis Lewis Blvd
Queens Village, NY 11427-2867

Mailing address

100 Old Palisade Rd
# 3415
Fort Lee, NJ 07024-7064
Phone (646) 831-1715

Other identifiers 1

IdentifierTypeStateIssuer
02586143MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000011 NY Practitioner - Optometry 8628969078 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

417 E 138 St
Bronx, NY 10454-3004
Phone (917) 642-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ayman Z. Matta, M.D., P.C. CurrentSince Oct 6, 2024 Accepting new patients
Bronx Vision Center Inc. Optometrist CurrentSince Aug 19, 2023 Accepting new patients
Karen Allison, M.D., P.C. CurrentSince Aug 1, 2021 Accepting new patients
Michael a Pisacano MD PC CurrentSince Jan 1, 2020 Accepting new patients
City Medical Physician PC CurrentSince Mar 9, 2024 Accepting new patients
Seven Two Optics Corp. Optometrist PastSince Jun 15, 2013 Accepting new patients
Modern Physician Services PC Past Accepting new patients

Locations

417 E 138th St
Bronx, NY 10454
Phone (917) 642-1035

2590 Frisby Ave
Bronx, NY 10461
Phone (718) 239-1610

24836 Jericho Tpke
Floral Park, NY 11001
Phone (516) 352-7111

162 W 56th St
Ste 206
New York, NY 10019
Phone (212) 459-0001

99 Dutch Hill Rd
Orangeburg, NY 10962
Phone (845) 355-9727

1460 Victory Blvd
Staten Island, NY 10301
Phone (718) 273-8100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations & group practices 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1184725152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD PALISADE RD",
            "address_2": "# 3415",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247064",
            "telephone_number": "646-831-1715",
            "fax_number": "718-217-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 FRANCIS LEWIS BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272867",
            "telephone_number": "718-465-4999",
            "fax_number": "718-217-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABIRI",
        "first_name": "ALEXANDER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02586143",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.