Active NPI
Jai Uday Sheth, OD
- Optometrist
- Bronx, NY
National Provider Identifier
1417681917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009586
- Practice address
- 2075 Bartow Ave
Bronx, NY 10475-4613 - Phone
- (718) 671-5666
- Fax
- (718) 862-2306
- NPI assigned
- Jul 12, 2022
- Last updated
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009586 | NY | Primary |
Addresses
Primary practice location
2075 Bartow Ave
Bronx, NY 10475-4613
Mailing address
182 E 95TH St Apt 3K
New York, NY 10128-2519
Phone (973) 876-6166
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2075 Bartow Ave
Bronx, NY 10475-4613
Phone (718) 671-5666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009586 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartow Avenue Bronx Eye Care Inc | Optometrist | Current | Accepting new patients |
Locations
1101 Amboy Ave
Edison, NJ 08837
Phone (718) 477-6700
2075 Bartow Ave
Bronx, NY 10475
Phone (718) 320-0049
Organizations & group practices 1
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": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1417681917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 E 95TH ST APT 3K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282519",
"telephone_number": "973-876-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 BARTOW AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104754613",
"telephone_number": "718-671-5666",
"fax_number": "718-862-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETH",
"first_name": "JAI",
"middle_name": "UDAY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.