Moontaha Ahmed Choudhury, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009121 Issued in NY

Practice address

2590 Frisby Ave
Bronx, NY 10461-3240

Phone

(718) 409-9400

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael a Pisacano MD PCGroup PAC ID 0941271720, 9 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 and National Provider Directory roles.

• Michael a Pisacano MD PC

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1740488451
  Medicare reassignment Care Compare group NPD
• Bronx Family Eye Care Inc

  • Optometrist
  • Bronx, NY
  • NPI 1235734773
  Medicare reassignment

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1366067563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11036 65TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 FRISBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613240",
            "telephone_number": "718-409-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHURY",
        "first_name": "MOONTAHA",
        "middle_name": "AHMED",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jui Choudhuri, MD
• Ahsan Choudhury
• Bani Roy Choudhury, M.D
• Julie F Choudhury, PHARMD
• Mahin Akhtar Choudhury, M.D
• Nabilah Choudhury
• Nahin Azahar Choudhury, OTA
• Rafaie Nomani Choudhury
• Shafi K Choudhury, MD
• Shakib Nawaz Choudhury, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.