Organization Active NPI

Boris Kapelnik OD P.C.

  • Optometrist
  • Rego Park, NY
National Provider Identifier
1427465293
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007138 Issued in NY
Legal business name
BORIS KAPELNIK OD P.C.
Practice address
9519 63Rd Dr
Rego Park, NY 11374-2024
Phone
(718) 997-8185
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Dr. Boris Kapelnik, O.D.NPI 1013963057
Title
Optometrist
Phone
(847) 404-3764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 007138 NY Primary

Addresses

Primary practice location

9519 63Rd Dr
Rego Park, NY 11374-2024

Mailing address

187 Avenue U
Brooklyn, NY 11223-3741
Phone (718) 373-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818000263 NY Part B Supplier - Clinic/Group Practice 2163595315 Receives reassigned benefits from 3 practitioners
Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1427465293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233741",
            "telephone_number": "718-373-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9519 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742024",
            "telephone_number": "718-997-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS KAPELNIK OD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "KAPELNIK",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-404-3764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.