Individual provider Active NPI

Cheryl Israeloff, O.D.

  • Optometrist
  • Garden City, NY
National Provider Identifier
1649420472
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005206 Issued in NY
Practice address
300 Garden City PLZ Ste 404
Garden City, NY 11530
Phone
(516) 224-4888
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005206 NY Primary

Addresses

Primary practice location

300 Garden City PLZ Ste 404
Garden City, NY 11530

Mailing address

300 Garden City PLZ Ste 404
Garden City, NY 11530-3332
Phone (516) 224-4888

Other identifiers 1

IdentifierTypeStateIssuer
A400128584OtherNYMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000108 NY Practitioner - Optometry 2567633324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Garden City PLZ
Suite 404
Garden City, NY 11530-3332
Phone (516) 224-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005206NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Office of Cheryl Berger Israeloff, O.D., PLLC Optometrist CurrentSince Jul 21, 2015 Accepting new patients
Plain View Optical Inc. Optometrist Past Accepting new patients

Locations

300 Garden City Plz
Ste 404
Garden City, NY 11530
Phone (516) 224-4888

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1649420472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ STE 404",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303332",
            "telephone_number": "516-224-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ STE 404",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-224-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAELOFF",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400128584",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.