Nyc 1312 LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

NYC 1312 LLC

Practice address

1312 Avenue U
Brooklyn, NY 11229-3306

Phone

(718) 304-0533

Fax

(718) 304-0535

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

CHI Jin Chock

Title

Manager

Phone

(646) 373-8812

Specialties & licenses 2

Addresses

Other names 1

• Cola Y LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Paul P Repage, OD

  • Optometrist
  • Westfield, NJ
  • NPI 1396724001

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1639896335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293306",
            "telephone_number": "718-304-0533",
            "fax_number": "718-304-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293306",
            "telephone_number": "718-304-0533",
            "fax_number": "718-304-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC 1312 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "CHOCK",
        "authorized_official_first_name": "CHI JIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-373-8812"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cola Y LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mary Nyamekye
• Caprice Megan Nyamoti, FNP-BC
• Masha Nyamupfukudza, DDS
• Nyanta Home Care LLC Dba Nyanta Non Emergency Medical Transportation LLC
• Racheal A Nyarko, LMSW
• Nyc Arrhythmia Care, PLLC
• Nyc Behavior Specialists LLC
• Nyc Board of Education
• Nyc Brook Medical LLC
• Nyc Care PT PC

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.