Individual provider Active NPI

Janna Stepankoff, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1730198177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T006411 Issued in NY
Practice address
2019 Nostrand Ave
Brooklyn, NY 11210-2549
Phone
(718) 434-0711
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T006411 NY Primary

Addresses

Primary practice location

2019 Nostrand Ave
Brooklyn, NY 11210-2549

Mailing address

2019 Nostrand Ave
Brooklyn, NY 11210-2549
Phone (718) 434-0711

Other identifiers 1

IdentifierTypeStateIssuer
02227618MedicaidNY

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
I20040803001384 NY Practitioner - Optometry 9133190101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Primary Health Care Center LLCGroup PAC ID 2062305030, 44 clinicians

Practice addresses (Care Compare)

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T006411NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Primary Health Care Center, LLC CurrentSince Apr 4, 2003 Accepting new patients

Locations

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

2019 Nostrand Ave
Brooklyn, NY 11210
Phone (347) 533-6180

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730198177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102549",
            "telephone_number": "718-434-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102549",
            "telephone_number": "718-434-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANKOFF",
        "first_name": "JANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02227618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.