Individual provider Active NPI

Tejanand Ramdass, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1396473880
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009636 Issued in NY
Practice address
5205 Church Ave
Brooklyn, NY 11203-3513
Phone
(718) 736-2323
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009636 NY Primary

Addresses

Primary practice location

5205 Church Ave
Brooklyn, NY 11203-3513

Mailing address

10304 223Rd St
Queens Village, NY 11429-2155
Phone (718) 737-6554

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018001912 NY Practitioner - OphthalmologyPractitioner - Optometry 4789050683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York - State College Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

210 E 64TH St
New York, NY 10065-7471
Phone (718) 226-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009636NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harooni & Sheindlin MD PC CurrentSince Sep 15, 2022 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 10, 2023 Accepting new patients
Medalliance Medical Health Services Inc Past Accepting new patients

Locations

586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

5205 Church Ave
Brooklyn, NY 11203
Phone (718) 342-2500

109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: tramdass@northwellhealth.intellechartdirect.net
  • Direct secure messaging: tramdass28713@northwell.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1396473880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 223RD ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292155",
            "telephone_number": "718-737-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033513",
            "telephone_number": "718-736-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMDASS",
        "first_name": "TEJANAND",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.