Organization Active NPI

DRS. Farkas, Kassalow, Resnick & Associates

  • Optometrist
  • Roslyn, NY
National Provider Identifier
1619169711
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T004323 Issued in NY
Legal business name
DRS. FARKAS, KASSALOW, RESNICK & ASSOCIATES
Practice address
1044 Northern Boulevard
Suite 107
Roslyn, NY 11576-1507
Phone
(516) 365-4500
Fax
(516) 365-6580
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Susan A. Resnick, O.D.NPI 1356470900
Title
Managing Optometrist
Phone
(516) 365-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X T004323 NY Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X T004323 NY

Addresses

Primary practice location

1044 Northern Boulevard
Suite 107
Roslyn, NY 11576-1507

Mailing address

1044 Northern Boulevard
Suite 107
Roslyn, NY 11576-1507
Phone (516) 365-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081006000413 NY Part B Supplier - Clinic/Group Practice 9931277860 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roslyn, NY; New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2002528DRS Farkas, Kassalow, Resnick and Associates, PC1044 Northern Bolulevard, Suite 107, Roslyn, NY 11576RegistrationDec 8, 2026

National Provider Directory

National Provider Directory

Locations

1044 Northern Blvd
Ste 107
Roslyn, NY 11576
Phone (516) 365-4500

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1619169711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BOULEVARD",
            "address_2": "SUITE 107",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761507",
            "telephone_number": "516-365-4500",
            "fax_number": "516-365-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BOULEVARD",
            "address_2": "SUITE 107",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761507",
            "telephone_number": "516-365-4500",
            "fax_number": "516-365-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. FARKAS, KASSALOW, RESNICK & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "516-365-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T004323",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "T004323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.