Individual provider Active NPI

Alexis Marie Pelowski, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1255992061
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008966 Issued in NY
Practice address
1650 Selwyn Ave Apt 1C
Bronx, NY 10457-7628
Phone
(718) 518-5300
NPI assigned
Jun 23, 2019
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008966 NY Primary

Addresses

Primary practice location

1650 Selwyn Ave Apt 1C
Bronx, NY 10457-7628

Mailing address

1650 Grand Concourse
Bronx, NY 10457-7679
Phone (187) 992-7669

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
I20200817002311 NY Practitioner - Optometry 9133545577 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Sep 4, 2025 Accepting new patients
Bronxcare Health System Current Accepting new patients
Bronxcare Health System CurrentSince Dec 17, 2020 Accepting new patients
Bronxcare Health System CurrentSince Dec 17, 2020 Accepting new patients
Vocational Instruction Project Community Services, Inc. CurrentSince Jan 1, 2021 Accepting new patients

Locations

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1650 Selwyn Ave
Apt 1C
Bronx, NY 10457
Phone (718) 518-5300

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Interoperability endpoints

  • Direct secure messaging: apelowski1434124@nychhc.direct-ci.com

Organizations & group practices 6

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": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1255992061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577679",
            "telephone_number": "187-992-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE APT 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577628",
            "telephone_number": "718-518-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOWSKI",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.