Individual provider Active NPI

Alex Tarnarider, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1598760241
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005462 Issued in NY
Practice address
319 Brighton Beach Ave
Brooklyn, NY 11235-7412
Phone
(718) 616-1600
Fax
(718) 616-0082
NPI assigned
Jun 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005462 NY Primary

Addresses

Primary practice location

319 Brighton Beach Ave
Brooklyn, NY 11235-7412

Mailing address

319 Brighton Beach Ave
Brooklyn, NY 11235-7412
Phone (718) 616-1600

Other identifiers 1

IdentifierTypeStateIssuer
01432411MedicaidNY

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
I20090715000008 NY Practitioner - Optometry 6901830744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 Brighton Beach Ave
Brooklyn, NY 11235-7412
Phone (718) 616-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005462NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Tarnarider O.D.,P.C. Optometrist CurrentSince Jan 22, 1998 Accepting new patients
Richmond Specialty Script Inc. Current Accepting new patients
Specialty Script RX LLC CurrentSince Nov 1, 2018 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Nov 9, 2011 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Nov 9, 2011 Accepting new patients
PL Pharmacy Inc PastSince May 1, 2008 Accepting new patients

Locations

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

319 Brighton Beach Ave
Brooklyn, NY 11235
Phone (646) 633-2030

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1598760241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357412",
            "telephone_number": "718-616-1600",
            "fax_number": "718-616-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357412",
            "telephone_number": "718-616-1600",
            "fax_number": "718-616-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNARIDER",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-19",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01432411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.