Individual provider Active NPI

Yuliya Roytman, O.D

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1457325771
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 006805 Issued in NY
Practice address
3511 Quentin Rd
Brooklyn, NY 11234-3722
Phone
(917) 660-4513
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 TUV 006805 NY Primary

Addresses

Primary practice location

3511 Quentin Rd
Brooklyn, NY 11234-3722

Mailing address

230 Dover St
Brooklyn, NY 11235-3722
Phone (917) 660-4513

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
I20041027000120 NY Practitioner - Optometry 7618939216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Gy Optometry Care, PCGroup PAC ID 7618995549, 2 clinicians

Practice addresses (Care Compare)

3511 Quentin Rd
Brooklyn, NY 11234-4230
Phone (718) 377-1021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV 006805NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gy Optometry Care, PC Optometrist CurrentSince Aug 2, 2005 Accepting new patients
State of New York Comptrollers Office PastSince Jul 1, 2004 Accepting new patients
State of New York Comptrollers Office Optometrist PastSince Jul 1, 2004 Accepting new patients

Locations

3511 Quentin Rd
Brooklyn, NY 11234
Phone (718) 377-1021

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1457325771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DOVER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353722",
            "telephone_number": "917-660-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343722",
            "telephone_number": "917-660-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYTMAN",
        "first_name": "YULIYA",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.