Individual provider Active NPI

Elexa Antonia Gigante

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1467972190
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008590 Issued in NY
Practice address
187 Avenue U
Brooklyn, NY 11223-3741
Phone
(718) 373-2020
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008590 NY Primary

Addresses

Primary practice location

187 Avenue U
Brooklyn, NY 11223-3741

Mailing address

39 Hasbrouck Rd
Staten Island, NY 10304-3112

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
I20190204001847 NY Practitioner - Optometry 7618214388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staten Island Vision Eye Care LLCGroup PAC ID 7315200599, 3 clinicians

Practice addresses (Care Compare)

2655 Richmond Ave
Suite 1430
Staten Island, NY 10314-5854
Phone (718) 698-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008590NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Ridge Vision Center LLC Optometrist CurrentSince Dec 15, 2018 Accepting new patients
5TH Avenue Vision Center LLC Optometrist CurrentSince Jul 20, 2019 Accepting new patients
Grand Vision Optometry P.C. Optometrist Past Accepting new patients

Locations

5818 5th Ave
Brooklyn, NY 11220
Phone (718) 439-8440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1467972190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HASBROUCK RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233741",
            "telephone_number": "718-373-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIGANTE",
        "first_name": "ELEXA",
        "middle_name": "ANTONIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.