Individual provider Active NPI

Albert Peralta, O.D

  • Optometrist
  • East Elmhurst, NY
National Provider Identifier
1598201410
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008648 Issued in NY
Practice address
30-38 70TH Street Apt #3
East Elmhurst, NY 11370
Phone
(347) 924-5566
NPI assigned
Jan 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008648 NY Primary

Addresses

Primary practice location

30-38 70TH Street Apt #3
East Elmhurst, NY 11370

Mailing address

30-38 70TH Street Apt #3
East Elmhurst, NY 11370
Phone (347) 924-5566

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
I20210412001474 NY Practitioner - Optometry 2264840263 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008648NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
4501 Nyc Optical LLC Optometrist CurrentSince Apr 8, 2024 Accepting new patients
Nyc Optical Group LLC Optometrist CurrentSince Aug 25, 2024 Accepting new patients
482 Nyc Optical LLC Optometrist CurrentSince Apr 8, 2024 Accepting new patients
1354 Nyc Optical LLC Optometrist CurrentSince Apr 8, 2024 Accepting new patients
Linden Eye Care, Inc Optometrist Current Accepting new patients
Nyc Optical Group LLC Optometrist CurrentSince Aug 25, 2024 Accepting new patients
589 Nyc Optical LLC Optometrist Past Accepting new patients

Locations

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

4501 5th Ave
Brooklyn, NY 11220
Phone (718) 879-8171

5623 5th Ave
Brooklyn, NY 11220
Phone (718) 635-9333

589 Sutter Ave
Brooklyn, NY 11207
Phone (347) 627-7896

482 86th St
Brooklyn, NY 11209
Phone (718) 879-8182

1354 Pennsylvania Ave
Brooklyn, NY 11239
Phone (718) 642-3526

2084 Linden Blvd
Brooklyn, NY 11207
Phone (718) 272-3700

Organizations & group practices 8

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1598201410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-38 70TH STREET APT #3",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "11370",
            "telephone_number": "347-924-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-38 70TH STREET APT #3",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "11370",
            "telephone_number": "347-924-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "ALBERT",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.