Individual provider Active NPI

Sadiqah Mariam Ali

  • Optometrist
  • Oceanside, NY
National Provider Identifier
1497579650
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011091 Issued in NY
Practice address
2894 Long Beach Rd
Oceanside, NY 11572-3114
Phone
(516) 888-1038
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 011091 NY Primary

Addresses

Primary practice location

2894 Long Beach Rd
Oceanside, NY 11572-3114

Mailing address

8434 106TH St
Richmond Hill, NY 11418-1137

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
I20250409001122 NY Practitioner - Optometry 5092239269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011091NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Neelofar Ghaznawi MD PC CurrentSince Apr 7, 2025 Accepting new patients
Framebar Co LLC Optometrist CurrentSince Nov 17, 2024 Accepting new patients
Dr Neelofar Ghaznawi MD PC CurrentSince Apr 7, 2025 Accepting new patients

Locations

8626 Queens Blvd
Elmhurst, NY 11373
Phone (516) 641-7691

2894 Long Beach Rd
Oceanside, NY 11572
Phone (516) 888-1038

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": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1497579650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8434 106TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723114",
            "telephone_number": "516-888-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SADIQAH",
        "middle_name": "MARIAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.