Individual provider Active NPI

Rena Pinkhasov, OD

  • Optometrist
  • Yonkers, NY
National Provider Identifier
1417789686
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011062 Issued in NY
Practice address
598 Tuckahoe Rd
Yonkers, NY 10710-5713
Phone
(914) 337-7775
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011062 NY Primary

Addresses

Primary practice location

598 Tuckahoe Rd
Yonkers, NY 10710-5713

Mailing address

7347 173Rd St
Fresh Meadows, NY 11366-1429

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
I20260423000937 NY Practitioner - Optometry 3870060205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

295 Kimball St
Woodbridge, NJ 07095-2518

446 B Myrtle Ave
Brooklyn, NY 11205-2414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011062NYMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric C. Rubinfeld OD P.C. Optometrist CurrentSince Aug 18, 2024 Accepting new patients
White Plains Eye Care 1 Inc Optometrist PastSince Aug 18, 2024 Accepting new patients

Locations

598 Tuckahoe Rd
Yonkers, NY 10710
Phone (914) 337-7775

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, 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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1417789686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7347 173RD ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 TUCKAHOE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105713",
            "telephone_number": "914-337-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKHASOV",
        "first_name": "RENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.