Jordan S Kassalow, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004909 Issued in NY

Practice address

30 East 60TH Street
Suite 201
New York, NY 10022

Phone

(212) 355-5145

Fax

(212) 308-3262

NPI assigned

Mar 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 1988

Medicare assignment

May accept Medicare assignment

Group practices

DRS Farkas, Kassalow, Resnick and Associates PCGroup PAC ID 9931277860, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DRS. Farkas, Kassalow, Resnick & Associates, PC

  • Optometrist
  • New York, NY
  • NPI 1669671459
  Medicare reassignment Care Compare group NPD
• DRS. Farkas, Kassalow, Resnick & Associates

  • Optometrist
  • Roslyn, NY
  • NPI 1619169711
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336278977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EAST 60TH STREET",
            "address_2": "SUITE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-355-5145",
            "fax_number": "212-308-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EAST 60TH STREET",
            "address_2": "SUITE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-355-5145",
            "fax_number": "212-308-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSALOW",
        "first_name": "JORDAN",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0666510001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Kass
• Noah Kass, LCSW, MA
• William S Kass, MD
• Rebecca Kassabian
• Rena Kassak
• Fairyal Kassam, M.D.
• Nisha Kassam
• Serena Kassam
• Zain Kassam
• Sorayya Kassamali Rickicki, LM, CM, IBCLC

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.