Active NPI
Angela Pilosov
- Optician
- Flushing, NY
National Provider Identifier
1255847182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008748-1
- Practice address
- 2903 Union St
Flushing, NY 11354-2202 - Phone
- (718) 463-3412
- NPI assigned
- Dec 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 008748-1 | NY | Primary |
Addresses
Primary practice location
2903 Union St
Flushing, NY 11354-2202
Mailing address
9905 59TH Ave Apt 3E
Corona, NY 11368-3825
Phone (917) 929-4105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008748-1 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1255847182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9905 59TH AVE APT 3E",
"city": "CORONA",
"state": "NY",
"postal_code": "113683825",
"telephone_number": "917-929-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 UNION ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113542202",
"telephone_number": "718-463-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILOSOV",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008748-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.