Active NPI
Aron Tzvi Gottesman, OD
- Optometrist
- Monsey, NY
National Provider Identifier
1265493456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006537
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3083414 | Other | OXFORD |
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
Enrollment records 1
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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OAXXXXXXX | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Eye Care Associates of Optometry PC | Optometrist | Current | Accepting new patients |
| Aizer Health , Inc. | Current | Accepting new patients | |
| Aizer Health , Inc. | Current | 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.
-
- Optometrist
- Wesley Hills, NY
- NPI 1710135637
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1063480218
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1528941689
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.