Individual provider Active NPI

Taylor Kupferberg, OD

  • Optometrist
  • Garnerville, NY
National Provider Identifier
1225690886
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008990 Issued in NY
Practice address
171 Ramapo Rd Ste 2
Garnerville, NY 10923-1569
Phone
(845) 947-2240
NPI assigned
Jul 3, 2019
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00688300 NJ
Optometrist 152W00000X 008990 NY Primary

Addresses

Primary practice location

171 Ramapo Rd Ste 2
Garnerville, NY 10923-1569

Mailing address

171 Ramapo Rd Ste 2
Garnerville, NY 10923-1569
Phone (845) 947-2240

Other practice location 1

1 Crosfield Ave Ste 302
West Nyack, NY 10994-2229
Phone (845) 624-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191206002226 NJ Practitioner - Optometry 2466885363 Reassigns benefits to 1 organization
I20201215000917 NY Practitioner - Optometry 2466885363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Crosfield Ave
Suite 302
West Nyack, NY 10994-2229
Phone (845) 624-4455

2000 N Village Ave
Rockville Centre, NY 11570-1078
Phone (516) 766-2519

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
85
Promoting interoperability
94
Improvement activities
40
Cost
62.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00688300NJMDOptometrist
008990NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Santamaria Eye Center P a Optometrist Current Accepting new patients
Santamaria Eye Center P a Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Ophthalmic Consultants of Long Island Single Specialty PastSince Dec 6, 2020 Accepting new patients

Locations

100 Menlo Park
Ste 408
Edison, NJ 08837
Phone (732) 767-1850

104 Market St
Perth Amboy, NJ 08861
Phone (732) 826-5159

3127 41st St
Astoria, NY 11103
Phone (212) 353-9443

3127 41st St
#13292
Astoria, NY 11103

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

711 Stewart Ave
Ste 160
Garden City, NY 11530
Phone (516) 500-4200

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

171 Route 202
Garnerville, NY 10923
Phone (845) 947-1772

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

1 Crosfield Ave
Ste 302
West Nyack, NY 10994
Phone (845) 624-4455

Interoperability endpoints

  • Direct secure messaging: taylor.kupferberg.p1@direct.ocli.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1225690886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 RAMAPO RD STE 2",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231569",
            "telephone_number": "845-947-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RAMAPO RD STE 2",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231569",
            "telephone_number": "845-947-2240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Crosfield Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "West Nyack",
            "state": "NY",
            "postal_code": "109942229",
            "country_code": "US",
            "telephone_number": "845-624-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPFERBERG",
        "first_name": "TAYLOR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00688300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnerville, NY

Sources for this page

Verify at the official NPI Registry.