Individual provider Active NPI

Jennifer Denise Belfor, OD OPTOMETRIST

  • Optometrist
  • Baldwin, NY
National Provider Identifier
1407071319
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0046151 Issued in NY
Practice address
939 Atlantic Avenue
Baldwin, NY 11510
Phone
(516) 868-3500
Fax
(516) 368-3556
NPI assigned
Apr 16, 2007
Last updated
May 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0046151 NY Primary

Addresses

Primary practice location

939 Atlantic Avenue
Baldwin, NY 11510

Mailing address

939 Atlantic Avenue
Baldwin, NY 11510
Phone (516) 868-3500

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
I20161227000511 NY Practitioner - Optometry 3173804507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004615NYMDRegistered Dietitian
0046151NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
General Long Island Eye Care LLC Optometrist CurrentSince Jul 21, 2019 Accepting new patients

Locations

187 Avenue U
Brooklyn, NY 11223
Phone (718) 373-2020

630 Old Country Rd
Unit 493A
Garden City, NY 11530
Phone (516) 408-5330

358 Broadway Mall
Ste 371A
Hicksville, NY 11801
Phone (516) 908-2020

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, 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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1407071319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 ATLANTIC AVENUE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-868-3500",
            "fax_number": "516-368-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ATLANTIC AVENUE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-868-3500",
            "fax_number": "516-368-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELFOR",
        "first_name": "JENNIFER",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "OD OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "0046151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.