Roman Polishchuk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

007870 Issued in NY

Practice address

904 49TH St
Medical & Surgical Eyesite
Brooklyn, NY 11219-2922

Phone

(718) 283-8000

Fax

(718) 365-3655

NPI assigned

Jun 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R Mostafavi MD Ophthamologist PCGroup PAC ID 7911066501, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95 of 100Reported as group

Quality

90

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• R Mostafavi MD Ophthamologist PC

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1851540488
  Medicare reassignment Care Compare group NPD
• Modern Vision, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1366760019
  NPD (past)
• Noreen Kamal-Mostafavi MD PLLC

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1912485483
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1467715839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 49TH ST",
            "address_2": "MEDICAL & SURGICAL EYESITE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192922",
            "telephone_number": "718-283-8000",
            "fax_number": "718-365-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 49TH ST",
            "address_2": "MEDICAL & SURGICAL EYESITE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192922",
            "telephone_number": "718-283-8000",
            "fax_number": "718-365-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISHCHUK",
        "first_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iuliia Polikanova
• Polina Kipnis-Tseitlina, D.D.S.
• Deborah Polinsky, LCSW
• Kevin Polinsky
• Mark Polishchuk, OTR
• Steven Polishchuk
• Yuliya Polishchuk, PT
• Zinaida Polishchuk, LMHC
• Dina Polishuk
• Alexis Polite

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.

Verify at the official NPI Registry.