Individual provider Active NPI

Neil A Falasca, OD

  • Optometrist
  • Williston Park, NY
National Provider Identifier
1356315857
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T003074 Issued in NY
Practice address
99 Hillside Ave
Suite 99I
Williston Park, NY 11596-2333
Phone
(516) 798-8812
NPI assigned
Feb 14, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T003074 NY Primary

Addresses

Primary practice location

99 Hillside Ave
Suite 99I
Williston Park, NY 11596-2333

Mailing address

99 Hillside Ave
Suite 99I
Williston Park, NY 11596-2333
Phone (516) 798-8812

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
I20080111000401 NY Practitioner - Optometry 5193806552 Practice locations: Williston Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T003074NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1356315857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE",
            "address_2": "SUITE 99I",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962333",
            "telephone_number": "516-798-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE",
            "address_2": "SUITE 99I",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962333",
            "telephone_number": "516-798-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALASCA",
        "first_name": "NEIL",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T003074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

Verify at the official NPI Registry.