Individual provider Active NPI

Jayeshwar Nigam, OD

  • Optometrist
  • Westbury, NY
National Provider Identifier
1215661970
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009573 Issued in NY
Practice address
6000 Brush Hollow Rd
Westbury, NY 11590-1702
Phone
(516) 334-3143
NPI assigned
Jul 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009573 NY Primary

Addresses

Primary practice location

6000 Brush Hollow Rd
Westbury, NY 11590-1702

Mailing address

45 Shelbourne LN
Manhasset Hills, NY 11040-1038

Other practice location 1

77 Green Acres Rd
Valley Stream, NY 11581-1008
Phone (516) 612-0528

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
I20241101001966 NY Practitioner - Optometry 0648703389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision of Health Inc. Optometrist CurrentSince Jul 25, 2024 Accepting new patients

Locations

77 Green Acres Rd
Valley Stream, NY 11581
Phone (516) 612-0528

6000 Brush Hollow Rd
Westbury, NY 11590
Phone (516) 334-3143

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.

NPI Registry JSON

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1215661970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SHELBOURNE LN",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BRUSH HOLLOW RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901702",
            "telephone_number": "516-334-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Green Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115811008",
            "country_code": "US",
            "telephone_number": "516-612-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGAM",
        "first_name": "JAYESHWAR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.