Active NPI
Jade R Gormady, O.D.
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007705
- Practice address
- 128 Ft Washingtn Ave Apt J
New York, NY 10032-4735 - Phone
- (212) 928-9590
- Fax
- (212) 569-9100
- NPI assigned
- Sep 7, 2011
- Last updated
- May 7, 2012
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007705 | NY | Primary |
Addresses
Primary practice location
128 Ft Washingtn Ave Apt J
New York, NY 10032-4735
Mailing address
128 Ft Washingtn Ave Apt J
New York, NY 10032-4735
Phone (212) 928-9590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03399891 | Medicaid | NY |
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
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 S Central Ave
Hartsdale, NY 10530-2314
Phone (914) 948-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007705 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Optometry Care PC | Optometrist | Current | Accepting new patients |
| Jeffrey Cooper OD PC | Current | Accepting new patients | |
| Hall of Frames Opthalmic Dispensing PC | Current | Accepting new patients | |
| Jeffrey Cooper O.D., P.C. | Optometrist | Current | Accepting new patients |
| Jeffrey Cooper O.D., P.C. | Optometrist | Current | Accepting new patients |
| Jeffrey Cooper O.D., P.C. | Optometrist | Past | Accepting new patients |
| Jeffrey Cooper O.D., P.C. | Optometrist | Past | Accepting new patients |
| Washington Heights Optical Inc. | Past | Accepting new patients | |
| Jeffrey Cooper O.D., P.C. | Optometrist | Past | Accepting new patients |
Locations
1038 Southern Blvd
Bronx, NY 10459
Phone (718) 328-7137
1332 Metropolitan Ave
Bronx, NY 10462
Phone (718) 828-6200
25 Westchester Sq
Bronx, NY 10461
Phone (718) 597-6162
385 E 149th St
Bronx, NY 10455
Phone (347) 385-2633
471 E Tremont Ave
Bronx, NY 10457
Phone (718) 583-0444
815 Hutchinson River Pkwy
Bronx, NY 10465
Phone (718) 536-2690
161 S Central Ave
Hartsdale, NY 10530
Phone (914) 902-8845
Organizations & group practices 9
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.
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- Bronx, NY
- NPI 1619226784
-
- Corneal and Contact Management Optometrist
- New York, NY
- NPI 1558419044
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- Optometric Technician
- New York, NY
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1649551391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 FT WASHINGTN AVE APT J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100324735",
"telephone_number": "212-928-9590",
"fax_number": "212-569-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 FT WASHINGTN AVE APT J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100324735",
"telephone_number": "212-928-9590",
"fax_number": "212-569-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMADY",
"first_name": "JADE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03399891",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.