Active NPI
Wendy Karen Josephs, OD
- Optometrist
- Brooklyn, NY
National Provider Identifier
1194977017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003878-1
- Practice address
- 420 12TH St
Apt E2R
Brooklyn, NY 11215-5158 - Phone
- (718) 788-4278
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003878-1 | NY | Primary |
Addresses
Primary practice location
420 12TH St
Apt E2R
Brooklyn, NY 11215-5158
Mailing address
420 12TH St
Apt E2R
Brooklyn, NY 11215-5158
Phone (718) 788-4278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003878-1 | NY | MD | Optometrist |
| 003878 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jena Optical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optician
- New York, NY
- NPI 1265554901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1194977017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 12TH ST",
"address_2": "APT E2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155158",
"telephone_number": "718-788-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 12TH ST",
"address_2": "APT E2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155158",
"telephone_number": "718-788-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPHS",
"first_name": "WENDY",
"middle_name": "KAREN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003878-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.