Elise Marie Regina, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009570 Issued in NY

Practice address

330 W 58TH St Ste 600
New York, NY 10019-1817

Phone

(212) 204-0600

Fax

(212) 600-5826

NPI assigned

Jul 12, 2022

Sex

Female

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maayan Keshet MD PCGroup PAC ID 8628296290, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eregina@cityeyemd.direct.eyemdemr.com

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.

• Maayan Keshet MD PC

  • Ophthalmologic Surgery Clinic/Center
  • New York, NY
  • NPI 1396164216
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1588398978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191817",
            "telephone_number": "212-204-0600",
            "fax_number": "212-600-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191817",
            "telephone_number": "212-204-0600",
            "fax_number": "212-600-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGINA",
        "first_name": "ELISE",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regenerative Pain Center of NJ & Ny
• Regenhealth Physicians LLC
• Nicole Regent, M.D.
• Fernando Reggianini
• Danielle Regina
• Hannah Regina
• Rosa Regincos
• Efren Regio, M.D.
• Nanice E Regis Blay, D.M.D.
• Francis Lloyd Ocubillo Regis, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.