Amanda Kaylin Kulberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009376 Issued in NY

Practice address

2464 Coney Island Ave Ste 3
Brooklyn, NY 11223-5009

Phone

(718) 676-6464

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JL Vision IncGroup PAC ID 5890071534, 3 clinicians

Arthur Bukhatetsky OD PLLCGroup PAC ID 0042336331, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• JL Vision, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1861849671
  Medicare reassignment Care Compare group NPD
• Arthur Bukhatetsky OD PLLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1740519958
  Medicare reassignment Care Compare group
• A & D Medical, PC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1356549349
  Medicare reassignment NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1700458221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NEPTUNE AVE APT 21A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244020",
            "telephone_number": "718-223-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 CONEY ISLAND AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235009",
            "telephone_number": "718-676-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6108 Woodside Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773543",
            "country_code": "US",
            "telephone_number": "718-505-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULBERG",
        "first_name": "AMANDA",
        "middle_name": "KAYLIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "009376",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Kukuyev, LMSW
• Ada Kulagina, LAC
• Ilhan Can Kulak
• Olha Kulak
• Aneta Kular
• Anthony Kulberg, RN
• Golda Kulberg
• Roman Kulberg, OPTICIAN
• Viktoriy Kulchinskaya, RPH
• Chana Kulefsky, PAC

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.

Verify at the official NPI Registry.