Active NPI
Ilana Gelfond-Polnariev, OD
- Pediatric Optometrist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- TUV006588
- Practice address
- 4079 Richmond Ave
Staten Island, NY 10312-5633 - Phone
- (718) 481-2020
- Fax
- (347) 824-2010
- NPI assigned
- Jun 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | TUV006588 | NY | Primary |
Addresses
Primary practice location
4079 Richmond Ave
Staten Island, NY 10312-5633
Mailing address
4079 Richmond Ave
Staten Island, NY 10312-5633
Phone (718) 481-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02499796 | Medicaid | NY |
Other names 1
- Dr. Ilana Gelfond
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3710 13TH Ave
Brooklyn, NY 11218-3602
Phone (718) 686-7600
4079 Richmond Ave
Staten Island, NY 10312-5633
Phone (718) 481-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006588 | NY | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L'Refuah Medical & Rehabilitation Center, Inc. | Current | Accepting new patients | |
| L'Refuah Medical & Rehabilitation Center, Inc. | Current | Accepting new patients | |
| Ilana Gelfond Polnariev OD PC | Pediatrics | Current | Accepting new patients |
| Med Group LLC | Past | Accepting new patients | |
| State of New York Comptrollers Office | Past | Accepting new patients | |
| Omni Eye Specialists P a | Past | Accepting new patients | |
| D.S. Optometric Services PC | Past | Accepting new patients |
Locations
1312 38th St
Brooklyn, NY 11218
Phone (718) 686-2374
4300 Hylan Blvd
Ste 1BC
Staten Island, NY 10312
Phone (718) 481-2020
4079 Richmond Ave
Staten Island, NY 10312
Phone (718) 481-2020
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ilana.gelfondpolnariev.p1@direct.ezramedical.nextgenshare.com
Organizations & group practices 7
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.
-
- Community Health Worker
- Brooklyn, NY
- NPI 1861859878
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1578800025
-
- Optometrist
- Brooklyn, NY
- NPI 1881132694
-
- Optometrist
- Brooklyn, NY
- NPI 1932141272
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Ophthalmology Physician
- Iselin, NJ
- NPI 1376593863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1619972361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4079 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125633",
"telephone_number": "718-481-2020",
"fax_number": "347-824-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4079 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125633",
"telephone_number": "718-481-2020",
"fax_number": "347-824-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELFOND-POLNARIEV",
"first_name": "ILANA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-18",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NY",
"license": "TUV006588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02499796",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ILANA",
"last_name": "GELFOND",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.
- 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.