Active NPI
Puneet Rastogi, O.D.
- Optometrist
- Albuquerque, NM
National Provider Identifier
1346356185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA006059000
- Practice address
- 6550 Holly Ave NE Ste D1-B
Albuquerque, NM 87113-2162 - Phone
- (505) 294-3000
- NPI assigned
- Aug 22, 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 | 007067 | NY | |
| Optometrist | 152W00000X | 27OA006059000 | NJ | Primary |
Addresses
Primary practice location
6550 Holly Ave NE Ste D1-B
Albuquerque, NM 87113-2162
Mailing address
2033-65 St
Brooklyn, NY 11204
Phone (312) 925-9519
Other practice location 1
1010 2nd Ave
New York, NY 10022-4966
Phone (212) 753-7733
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002930341 | Other | NY | UHC |
| G400010849 | Other | NY | MEDICARE PC PTAN |
| P3704908 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121029000029 | NM | Practitioner - Optometry | 8729182373 | Reassigns benefits to 1 organization |
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 |
|---|---|---|---|
| 27OA006059000 | NJ | MD | Optometrist |
| 642 | NM | MD | Physical Therapist |
| 007067 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical Palace of Newark LLC | Past | Accepting new patients | |
| National Vision, Inc. | Optometrist | Past | 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 and National Provider Directory roles.
-
- Optometrist
- Albuquerque, NM
- NPI 1720133549
-
- Optician
- Newark, NJ
- NPI 1003995069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1346356185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033-65 ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11204",
"telephone_number": "312-925-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 HOLLY AVE NE STE D1-B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132162",
"telephone_number": "505-294-3000"
}
],
"practiceLocations": [
{
"address_1": "1010 2nd Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100224966",
"country_code": "US",
"telephone_number": "212-753-7733",
"fax_number": "212-753-2677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASTOGI",
"first_name": "PUNEET",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007067",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA006059000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "002930341",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PC PTAN",
"identifier": "G400010849",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3704908",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.