Individual provider Active NPI

Nabeel Furooq Chaudary, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1386317402
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009462 Issued in NY
Practice address
805 60TH St
Brooklyn, NY 11220-4310
Phone
(718) 851-4886
NPI assigned
Jul 26, 2021
Reactivated
Oct 5, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009462 NY Primary

Addresses

Primary practice location

805 60TH St
Brooklyn, NY 11220-4310

Mailing address

116 E 19TH St Apt 1
New York, NY 10003-2130
Phone (908) 752-3595

Other practice location 1

5301 8th Ave
Brooklyn, NY 11220-3260
Phone (718) 633-6888

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
I20221122002344 NY Practitioner - Optometry 8527436583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lederman and Lederman LLP CurrentSince Jan 2, 2024 Accepting new patients
Negrin MD PLLC CurrentSince Jan 2, 2024 Accepting new patients
Parcare Community Health Network Inc CurrentSince Sep 1, 2022 Accepting new patients
Parcare Community Health Network Inc CurrentSince Sep 1, 2022 Accepting new patients
Chinatown Optical Group, LLC PastSince Jan 13, 2024 Accepting new patients
Brooklyn Optical Inc. Past Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700

3020 Westchester Ave
Ste 402
Purchase, NY 10577
Phone (914) 417-6441

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1386317402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 19TH ST APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032130",
            "telephone_number": "908-752-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204310",
            "telephone_number": "718-851-4886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203260",
            "country_code": "US",
            "telephone_number": "718-633-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDARY",
        "first_name": "NABEEL",
        "middle_name": "FUROOQ",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "deactivation_date": "2021-09-09",
        "reactivation_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.