Individual provider Active NPI

Pooja Berdia, OD

  • Optometrist
  • Shoreham, NY
National Provider Identifier
1467930370
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008790 Issued in NY
Practice address
8 Willimatic CT
Shoreham, NY 11786-2018
Phone
(631) 335-7250
NPI assigned
Aug 2, 2018
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 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 TUV008790 NY Primary

Addresses

Primary practice location

8 Willimatic CT
Shoreham, NY 11786-2018

Mailing address

999 Corporate Dr
Westbury, NY 11590-6614
Phone (516) 493-4410

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
I20180926003042 NY Practitioner - Optometry 9638420870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

999 Corporate Dr
Westbury, NY 11590-6614
Phone (516) 493-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008790NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Apple Optometry, PC Optometrist CurrentSince Jan 8, 2024 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Aug 15, 2018 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Aug 15, 2018 Accepting new patients
Isaac Reich MD Ca a Professional Corporation PastSince Sep 1, 2022 Accepting new patients

Locations

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

999 Corporate Dr
Westbury, NY 11590
Phone (516) 222-8841

Organizations & group practices 4

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1467930370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CORPORATE DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906614",
            "telephone_number": "516-493-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILLIMATIC CT",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862018",
            "telephone_number": "631-335-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDIA",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreham, NY

Sources for this page

Verify at the official NPI Registry.