Individual provider Active NPI

Tiffany Cong, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1366333221
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011197 Issued in NY
Practice address
1054 Flatbush Ave
Brooklyn, NY 11226-5428
Phone
(718) 223-5707
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011197 NY Primary

Addresses

Primary practice location

1054 Flatbush Ave
Brooklyn, NY 11226-5428

Mailing address

PO Box 150617
Brooklyn, NY 11215-0617

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
I20250715002786 NY Practitioner - Optometry 7810402146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flatbush Eye Care IncGroup PAC ID 2466849344, 3 clinicians
Optyx LLCGroup PAC ID 6406207737, 10 clinicians

Practice addresses (Care Compare)

1054 Flatbush Ave
Brooklyn, NY 11226-5428
Phone (718) 223-5707

2384 Broadway
New York, NY 10024-1703
Phone (212) 724-0850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flatbush Eye Care Inc Optometrist CurrentSince Jul 10, 2025 Accepting new patients

Locations

1054 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 223-5707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1366333221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150617",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112150617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265428",
            "telephone_number": "718-223-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONG",
        "first_name": "TIFFANY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.