Jennifer Raquel Sedaghati, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

007826 Issued in NY

Practice address

45 Main Street
Hastings on Hudson, NY 10706

Phone

(914) 478-0550

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

Yes

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 NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Riverdale Vision Care, P.a.

  • Optometrist
  • Riverdale, NJ
  • NPI 1255581609
  Medicare reassignment NPD
• TML Vision Care, LLC

  • Optometrist
  • East Hanover, NJ
  • NPI 1275806929
  Medicare reassignment NPD
• Bauer Optical Export Corp

  • Optician
  • Hastings on Hudson, NY
  • NPI 1336285659
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1609138247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EDGEWOOD PLACE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11024",
            "telephone_number": "516-884-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAIN STREET",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "10706",
            "telephone_number": "914-478-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHATI",
        "first_name": "JENNIFER",
        "middle_name": "RAQUEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Rothberg, LCSW
• Peter Rothstein, MD
• Joanne Rubin, PH.D.
• Boris Rubinstein, M.D.
• Jessica Ruggiero, RN
• William T Seidel, PHD
• Mahendra Manilal Shah, MD
• Shay Markovitch Dentistry, PLLC
• Charles Ostrander Sherman Jr., PSYCHOTHERAPIST
• Amelia Ryan Sherry, R.D.

• Optometrist in Hastings on Hudson, NY
• Providers in Hastings on Hudson, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.

Verify at the official NPI Registry.