Individual provider Active NPI

Chhaya Gupta

  • Optician
  • Glen Oaks, NY
National Provider Identifier
1649361890
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
007530 Issued in NY
Practice address
26318 Hillside Ave
Glen Oaks, NY 11004-1759
Phone
(718) 533-6664
NPI assigned
Sep 27, 2006
Last updated
Mar 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 007530 NY Primary

Addresses

Primary practice location

26318 Hillside Ave
Glen Oaks, NY 11004-1759

Mailing address

26318 Hillside Ave
Glen Oaks, NY 11004-1759
Phone (718) 533-6664

Other identifiers 1

IdentifierTypeStateIssuer
01923793MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007530NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
East West Opticians Optician Current Accepting new patients

Locations

26318 Hillside Ave
Glen Oaks, NY 11004
Phone (718) 343-6100

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1649361890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26318 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041759",
            "telephone_number": "718-533-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26318 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041759",
            "telephone_number": "718-533-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "CHHAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01923793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.