Individual provider Active NPI

Mitali Sanghani, O.D.

  • Optometrist
  • Northport, NY
National Provider Identifier
1659787489
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008165-1 Issued in NY
Practice address
79 Middleville Rd
Optometry Service 123
Northport, NY 11768-2200
Phone
(631) 261-4400
NPI assigned
Jul 1, 2014
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008165-1 NY Primary

Addresses

Primary practice location

79 Middleville Rd
Optometry Service 123
Northport, NY 11768-2200

Mailing address

79 Middleville Rd
Optometry Service 123
Northport, NY 11768-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150810000849 NY Practitioner - Optometry 1456665132 Reassigns benefits to 1 organization
I20230112000521 NJ Practitioner - Optometry 1456665132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steve H. Silberberg, O.D., LLCGroup PAC ID 1153458518, 4 clinicians

Practice addresses (Care Compare)

935 Route 34
Suite 1a
Matawan, NJ 07747-3283
Phone (732) 583-9797

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008165-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Surgical Eye Care Services PC CurrentSince Jun 17, 2015 Accepting new patients
Steve H. Silberberg, O.D., LLC Optometrist CurrentSince Apr 10, 2025 Accepting new patients
Ms Eyecare LLC Optometrist Current Accepting new patients

Locations

935 State Route 34
Ste 1A
Matawan, NJ 07747
Phone (732) 583-9797

360 Montauk Hwy
West Islip, NY 11795
Phone (631) 422-1110

Interoperability endpoints

  • Direct secure messaging: msanghani@arcnj.intellechartdirect.net

Organizations & group practices 3

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1659787489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "address_2": "OPTOMETRY SERVICE 123",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "address_2": "OPTOMETRY SERVICE 123",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHANI",
        "first_name": "MITALI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008165-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.