Active NPI
Charles H Neu, OD
- Optometrist
- Staten Island, NY
National Provider Identifier
1508924432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV00028471
- Practice address
- 295 New Dorp Lane
Staten Island, NY 10306-3005 - Phone
- (718) 351-3006
- Fax
- (718) 351-3511
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV00028471 | NY | Primary |
Addresses
Primary practice location
295 New Dorp Lane
Staten Island, NY 10306-3005
Mailing address
295 New Dorp Lane
Staten Island, NY 10306-3005
Phone (718) 351-3006
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1C7786 | Other | HEALTH NET | |
| P835128 | Other | NY | OXFORD |
| 00329451 | Medicaid | NY |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100511000670 | NY | Practitioner - Optometry | 4880722974 | Practice locations: Staten Island, NY |
| O20100930019149 | NY | DME Supplier - Physician - Optometrist | 9931227394 | Practice locations: Staten Island, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
295 New Dorp Lane
Staten Island, NY 10306-3005
295 New Dorp LN
Staten Island, NY 10306-3005
Phone (718) 351-3006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2847 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| TUV00028471 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1508924432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 NEW DORP LANE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063005",
"telephone_number": "718-351-3006",
"fax_number": "718-351-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 NEW DORP LANE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063005",
"telephone_number": "718-351-3006",
"fax_number": "718-351-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEU",
"first_name": "CHARLES",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV00028471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1C7786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P835128",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00329451",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.