Individual provider Active NPI

Mandip Kaur, O.D

  • Optometrist
  • East Elmhurst, NY
National Provider Identifier
1235685827
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008480 Issued in NY
Practice address
8614 Astoria Blvd
East Elmhurst, NY 11369
Phone
(347) 893-7142
NPI assigned
Sep 1, 2016
Last updated
Sep 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 008480 NY
Optometrist 152W00000X TUV008480 NY Primary

Addresses

Primary practice location

8614 Astoria Blvd
East Elmhurst, NY 11369

Mailing address

86-14 Astoria Blvd
East Elmhurst, NY 11369
Phone (347) 893-7142

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
I20210309002921 NY Practitioner - Optometry 3072929447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008480NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harooni & Sheindlin MD PC CurrentSince Feb 1, 2021 Accepting new patients

Locations

109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600

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, 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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474761600000",
    "number": "1235685827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-14 ASTORIA BLVD",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "11369",
            "telephone_number": "347-893-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 ASTORIA BLVD",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "11369",
            "telephone_number": "347-893-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANDIP",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "008480",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.