Individual provider Active NPI

Boris Rozhansky

  • Optician
  • Staten Island, NY
National Provider Identifier
1326288432
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
006371-1 Issued in NY
Practice address
98 Saint Johns Ave
Staten Island, NY 10305-3026
Phone
(718) 447-9296
Fax
(718) 981-5247
NPI assigned
Mar 2, 2009
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 006371-1 NY Primary

Addresses

Primary practice location

98 Saint Johns Ave
Staten Island, NY 10305-3026

Mailing address

98 Saint Johns Ave
Staten Island, NY 10305-3026
Phone (718) 447-9296

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

LicenseStateTypeSpecialty
006371-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Green Vision Corp Optician Current Accepting new patients

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, 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": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1326288432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SAINT JOHNS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053026",
            "telephone_number": "718-447-9296",
            "fax_number": "718-981-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SAINT JOHNS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053026",
            "telephone_number": "718-447-9296",
            "fax_number": "718-981-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZHANSKY",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006371-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.