Individual provider Active NPI

Jonah Bernard Berman, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1194702589
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005815 Issued in NY
Practice address
328 E 34TH St
New York, NY 10016-4922
Phone
(212) 581-2020
Fax
(212) 581-2021
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005815 NY Primary

Addresses

Primary practice location

328 E 34TH St
New York, NY 10016-4922

Mailing address

300 East 33 Street
#15 P
New York, NY 10016
Phone (917) 539-3510

Other identifiers 1

IdentifierTypeStateIssuer
01718556MedicaidNY

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
I20040826000728 NY Practitioner - Optometry 8628043478 Reassigns benefits to 3 organizations
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005815NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kips Bay Optical LTD Optometrist CurrentSince Jan 12, 2026 Accepting new patients
Krystal Klear Optical Inc. Optometrist CurrentSince Mar 2, 2024 Accepting new patients
Grand Central Optical Co Inc Optometrist CurrentSince Feb 13, 2024 Accepting new patients
Rye Eye Care OD PLLC Optometrist PastSince Jan 12, 2026 Accepting new patients
Epic Medical Group,Inc Past Accepting new patients
Vision for Less Optometrist Past Accepting new patients

Locations

342 Madison Ave
New York, NY 10173
Phone (212) 599-1220

608 2nd Ave
New York, NY 10016
Phone (212) 686-1653

369 Madison Ave
New York, NY 10017
Phone (212) 599-1220

62 Grand Central Terminal
New York, NY 10017
Phone (212) 599-1220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1194702589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST 33 STREET",
            "address_2": "#15 P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "917-539-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164922",
            "telephone_number": "212-581-2020",
            "fax_number": "212-581-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JONAH",
        "middle_name": "BERNARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01718556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.