Individual provider Active NPI

Nina Gelfond, OD

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1679568018
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006325 Issued in NY
Practice address
4590 Main St
Buffalo, NY 14226-4548
Phone
(716) 893-3535
Fax
(716) 896-2318
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006325 NY Primary

Addresses

Primary practice location

4590 Main St
Buffalo, NY 14226-4548

Mailing address

3095 Harlem Rd
Cheektowaga, NY 14225-2500
Phone (716) 896-8831

Other identifiers 5

IdentifierTypeStateIssuer
882602-01OtherMDBCBS
7512500OtherMDAETNA
S017-0013OtherMDBLUE CHOICE
1284085OtherMDAETNA
2493649OtherMDUNITED HC

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
I20050106000313 NY Practitioner - Optometry 0749238723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amar Atwal MD PCGroup PAC ID 5991799520, 14 clinicians

Practice addresses (Care Compare)

3095 Harlem Rd
Cheektowaga, NY 14225-2500
Phone (716) 896-2245

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
100
Promoting interoperability
77
Improvement activities
40
Cost
77.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006325NYMDRegistered Dietitian
TUV006325NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Millie R Fell MD PC Past Accepting new patients
Lerner MD PA Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ngelfond@atwal.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1679568018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 HARLEM RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252500",
            "telephone_number": "716-896-8831",
            "fax_number": "716-896-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142264548",
            "telephone_number": "716-893-3535",
            "fax_number": "716-896-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFOND",
        "first_name": "NINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "882602-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7512500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "S017-0013",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1284085",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC",
            "identifier": "2493649",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.