Active NPI
Jocelyn Marie Cercone, O.D.
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007893
- Practice address
- 645 10TH Ave
New York, NY 10036-2904 - Phone
- (212) 265-4500
- NPI assigned
- Jul 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3674 | TN | |
| Optometrist | 152W00000X | TUV007893 | NY | |
| Optometrist | 152W00000X | 007893 | NY | Primary |
Addresses
Primary practice location
645 10TH Ave
New York, NY 10036-2904
Mailing address
645 10TH Ave
New York, NY 10036-2904
Phone (212) 265-4500
Other practice location 1
101 Movie Row
Smyrna, TN 37167-6532
Phone (615) 859-3937
Other practice location 2
2501 21st Ave S
Nashville, TN 37212-5626
Phone (615) 859-3937
Other practice location 3
1198 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 859-3937
Other practice location 4
520 Rivergate Pkwy
Goodlettsville, TN 37072-2030
Phone (615) 859-3937
Other practice location 5
1024 Kelley Dr
Paris, TN 38242-4500
Phone (731) 642-5003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007893 | NY | MD | Optometrist |
| 007893 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Single Specialty | Current | Accepting new patients |
| Advantagecare Physicians PC | Single Specialty | Current | Accepting new patients |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Eric S Dessner MD PC | Single Specialty | Current | Accepting new patients |
| State of New York Comptrollers Office | Optometrist | Current | Accepting new patients |
| Mark Fromer, MD PC | Single Specialty | Past | Accepting new patients |
Locations
398 Bridge St
Brooklyn, NY 11201
Phone (718) 865-8159
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
81 Willoughby St
Fl 4
Brooklyn, NY 11201
Phone (718) 522-3399
55 Water St
Fl 2
New York, NY 10041
University Eye Ctr
New York, NY 10087
33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930
215 W 125th St
Fl 2
New York, NY 10027
Phone (212) 491-2400
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 6
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.
-
- Optometrist
- New York, NY
- NPI 1407829856
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1598010647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100362904",
"telephone_number": "212-265-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100362904",
"telephone_number": "212-265-4500"
}
],
"practiceLocations": [
{
"address_1": "101 Movie Row",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "TN",
"postal_code": "371676532",
"country_code": "US",
"telephone_number": "615-859-3937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 21st Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372125626",
"country_code": "US",
"telephone_number": "615-859-3937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1198 Nashville Pike",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370663110",
"country_code": "US",
"telephone_number": "615-859-3937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 Rivergate Pkwy",
"address_purpose": "LOCATION",
"city": "Goodlettsville",
"state": "TN",
"postal_code": "370722030",
"country_code": "US",
"telephone_number": "615-859-3937",
"fax_number": "615-859-3941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1024 Kelley Dr",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "TN",
"postal_code": "382424500",
"country_code": "US",
"telephone_number": "731-642-5003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERCONE",
"first_name": "JOCELYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TN",
"license": "3674",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007893",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.