Individual provider Active NPI

Jocelyn Marie Cercone, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1598010647
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007893 Issued in NY
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

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121001000086 NY Practitioner - Optometry 4385893734 Reassigns benefits to 3 organizations
I20220126002566 TN Practitioner - Optometry 4385893734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007893NYMDOptometrist
007893NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Single Specialty CurrentSince Jul 9, 2012 Accepting new patients
Advantagecare Physicians PC Single Specialty CurrentSince May 13, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince May 13, 2019 Accepting new patients
Eric S Dessner MD PC Single Specialty CurrentSince Jun 12, 2017 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jul 9, 2012 Accepting new patients
Mark Fromer, MD PC Single Specialty PastSince Jan 10, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.