Yuriy Nektalov, OPTICIANRY

Primary specialty

OpticianTaxonomy code 156FX1800X

License

009720-1 Issued in NY

Practice address

500 3Rd Ave
New York, NY 10016-4853

Phone

(646) 750-0118

NPI assigned

Jan 4, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Murray Hill Optical LTD

  • Optometrist
  • New York, NY
  • NPI 1316755036

  Optician

  NPD Authorized official
• Murray Hill Optical 3Rd Ave

  • Ophthalmology Physician
  • New York, NY
  • NPI 1215726435
  NPD
• Optic Shades

  • Eyewear Supplier
  • New York, NY
  • NPI 1285103572
  NPD (past)
• Optic Shades 2ND Ave Inc

  • Optometrist
  • New York, NY
  • NPI 1962145417

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1225501083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164853",
            "telephone_number": "646-750-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164853",
            "telephone_number": "646-750-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKTALOV",
        "first_name": "YURIY",
        "credential": "OPTICIANRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009720-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW YORK",
            "identifier": "009720-1",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009720-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satyanarayana Nekkanti, R,PH
• Neko Health P.a.
• Oksana Nekoz, CNS
• Alla Nektalov, LMSW
• Melanie Nektalov
• Anna Nektalova
• Leana Nektalova
• Dana Neligan, OTR/L
• Marion Julie Nelkens, LCSW
• Madeline Nelkin, LMSW

• Optician in New York, NY
• Providers in New York, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.