Individual provider Active NPI

Juliana Elizabeth Boneta, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1740446152
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007273 Issued in NY
Practice address
550 Park Ave
New York, NY 10065-7369
Phone
(212) 832-9228
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007273 NY Primary

Addresses

Primary practice location

550 Park Ave
New York, NY 10065-7369

Mailing address

550 Park Ave
New York, NY 10065-7369
Phone (212) 832-9228

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
I20120521000455 NY Practitioner - Optometry 8527105386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael a Pisacano MD PCGroup PAC ID 0941271720, 9 clinicians

Practice addresses (Care Compare)

2590 Frisby Ave
Bronx, NY 10461-3240
Phone (718) 409-9400

Merit-based Incentive Payment System (MIPS)

Final score
96.44 of 100Reported as group
Quality
92.31
Promoting interoperability
93
Improvement activities
40
Cost
84.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007273NYMDMental Health Counselor
TUV007273NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Larchmont Mamaroneck Eye Care Group Optometrist CurrentSince May 1, 2012 Accepting new patients
Michael a Pisacano MD PC CurrentSince Sep 14, 2015 Accepting new patients
Mark Fromer, MD PC PastSince May 1, 2012 Accepting new patients

Locations

2590 Frisby Ave
Bronx, NY 10461
Phone (718) 239-1610

2590 Frisby Ave
Fl 2
Bronx, NY 10461

933 Mamaroneck Ave
Ste 105
Mamaroneck, NY 10543
Phone (914) 698-2182

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1740446152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657369",
            "telephone_number": "212-832-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657369",
            "telephone_number": "212-832-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONETA",
        "first_name": "JULIANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.