Miriam Radov, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00589600 Issued in NJ

Practice address

2900 Veterans Rd W
Staten Island, NY 10309-2502

Phone

(718) 227-3593

NPI assigned

Jul 26, 2011

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Frank Bucciero OD

  • Vision Therapy Optometrist
  • Springfield, NJ
  • NPI 1467649475
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1730467713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 VETERANS RD W",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 VETERANS RD W",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092502",
            "telephone_number": "718-227-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOV",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007250",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00589600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Radeboldti
• Mark J Raden, M.D.
• Shruthi Radhakrishnan, DO
• Radiology Services of New York PC
• Radiology Services of New York, PC
• Raduga, Inc.
• Elina Radushinsky, L.AC
• Agnes Radzio, MD
• Hellena Rafailov, PA
• Yuriy Rafailov, DOCTORATE

• Optometrist in Staten Island, NY
• Providers in Staten Island, 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 26, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.