Individual provider Active NPI

Aron Tzvi Gottesman, OD

  • Optometrist
  • Monsey, NY
National Provider Identifier
1265493456
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006537 Issued in NY
Practice address
455 Route 306
Monsey, NY 10952-1209
Phone
(845) 362-2020
Fax
(845) 362-2073
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006537 NY Primary
Optometrist 152W00000X OAXXXXXXX NJ

Addresses

Primary practice location

455 Route 306
Monsey, NY 10952-1209

Mailing address

455 Route 306
Monsey, NY 10952-1209
Phone (845) 362-2020

Other identifiers 1

IdentifierTypeStateIssuer
P3083414OtherOXFORD

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
I20040318001584 NY Practitioner - Optometry 1951291210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Eye Care Associates of Optometry PCGroup PAC ID 5092939603, 2 clinicians

Practice addresses (Care Compare)

443 Route 306
Monsey, NY 10952-1230
Phone (845) 362-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OAXXXXXXXNJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Eye Care Associates of Optometry PC Optometrist CurrentSince Jul 25, 2013 Accepting new patients
Aizer Health , Inc. CurrentSince Oct 1, 2011 Accepting new patients
Aizer Health , Inc. CurrentSince Oct 1, 2011 Accepting new patients

Locations

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

441 Route 306
Ste A
Monsey, NY 10952

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1265493456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ROUTE 306",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521209",
            "telephone_number": "845-362-2020",
            "fax_number": "845-352-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ROUTE 306",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521209",
            "telephone_number": "845-362-2020",
            "fax_number": "845-362-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMAN",
        "first_name": "ARON",
        "middle_name": "TZVI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006537",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OAXXXXXXX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3083414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.