Individual provider Active NPI

Jai Uday Sheth, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1417681917
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009586 Issued in NY
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221212001310 NY Practitioner - Optometry 9638548787 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
009586NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bartow Avenue Bronx Eye Care Inc Optometrist CurrentSince Aug 20, 2022 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

Verify at the official NPI Registry.