Rajat Shetty, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

008009 Issued in NY

Practice address

2556 Crescent St
Astoria, NY 11102-2938

Phone

(718) 734-2509

NPI assigned

Jun 12, 2013

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Concierge Premium Eyecare LLC

  • Optometrist
  • Astoria, NY
  • NPI 1962916940
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1215375241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 HOBART ST",
            "address_2": "APT 4D",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771428",
            "telephone_number": "718-344-1272",
            "fax_number": "718-425-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022938",
            "telephone_number": "718-734-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "RAJAT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Shelton, OTR/L
• Catherine Shenoy, LCSW
• Jeffrey Sheriff, P.T.
• Stuart Sherman, M.S.
• Drilona Sheti, DDS
• Shining Armor Care Inc
• Shirish Patel Medical P.C.
• Melina Shivbaran, MA, CCC-SLP
• Vitaly Shlez, M.D.
• Callie Short

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.