Individual provider Active NPI

Laura Sperazza, OD

  • Low Vision Rehabilitation Optometrist
  • New York, NY
National Provider Identifier
1639210701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
T005337 Issued in NY
Practice address
15 W 65TH St
New York, NY 10023-6601
Phone
(212) 769-6313
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X T005337 NY Primary
Low Vision Rehabilitation Optometrist 152WL0500X T005337 NJ

Addresses

Primary practice location

15 W 65TH St
New York, NY 10023-6601

Mailing address

222 Edgewood Ter
South Orange, NJ 07079-1404
Phone (973) 762-7593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070910000939 NJ Practitioner - Optometry 6608969472 Practice locations: Somerset, NJ
I20110110000726 NY Practitioner - Optometry 6608969472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JGB Rehabilitation CorporationGroup PAC ID 5092606533, 13 clinicians

Practice addresses (Care Compare)

250 W 64TH St
New York, NY 10023-6402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T005337NJMDLow Vision Rehabilitation Optometrist
T005337NYMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JGB Rehabilitation Corporation CurrentSince Oct 1, 1994 Accepting new patients
JGB Mental Health & Mental Retardation Services Inc Current Accepting new patients

Locations

15 W 65th St
New York, NY 10023
Phone (212) 769-6200

250 W 64th St
New York, NY 10023
Phone (212) 769-6247

250 W 64th St
Fl 3
New York, NY 10023
Phone (212) 769-6313

Interoperability endpoints

  • Direct secure messaging: laura.sperazza@jgbmed.eclinicaldirectplus.com
  • Direct secure messaging: sperazzal@lighthouseguild.direct.welligent.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639210701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EDGEWOOD TER",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791404",
            "telephone_number": "973-762-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 65TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236601",
            "telephone_number": "212-769-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERAZZA",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "T005337",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NJ",
            "license": "T005337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.