Individual provider Active NPI

Jeremy Du, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1649943150
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009370 Issued in NY
Practice address
329 E 149TH St FL 2
Bronx, NY 10451-5626
Phone
(888) 212-3937
NPI assigned
Jul 29, 2021
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009370 NY Primary

Addresses

Primary practice location

329 E 149TH St FL 2
Bronx, NY 10451-5626

Mailing address

4261 Hunter St Apt 4R
Long Island City, NY 11101-4128

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
I20210927001157 NY Practitioner - Optometry 8820495310

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
76.67
Promoting interoperability
89
Improvement activities
40
Cost
73.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009370NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Comprehensive Medical Wellness P.C. CurrentSince Jul 20, 2021 Accepting new patients

Locations

329 E 149th St
Bronx, NY 10451

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

14732 Jamaica Ave
Lowr
Jamaica, NY 11435
Phone (718) 206-2002

Interoperability endpoints

  • Direct secure messaging: jeremyd@neilpatel.emadirect.md

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1649943150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 HUNTER ST APT 4R",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 149TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515626",
            "telephone_number": "888-212-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.