Individual provider Active NPI

Natalie Borodoker, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1750396313
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
229403-1 Issued in NY
Practice address
2792 Ocean Ave
Brooklyn, NY 11229-4729
Phone
(718) 517-2555
Fax
(718) 517-2556
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 229403-1 NY Primary

Addresses

Primary practice location

2792 Ocean Ave
Brooklyn, NY 11229-4729

Mailing address

35 Coverly Ave
Staten Island, NY 10301-4549
Phone (718) 448-0588

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000210 NY Practitioner - Ophthalmology 8921181140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2792 Ocean Ave
FL 4
Brooklyn, NY 11229-4730
Phone (718) 517-2555

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
71.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
229403-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgery & Aesthetics PC Ophthalmology CurrentSince Jun 23, 2008 Accepting new patients
Laser and Microsurgery, PC Ophthalmology PastSince Sep 1, 2008 Accepting new patients
New York Eye Associates, LLC Ophthalmology Past Accepting new patients

Locations

2792 Ocean Ave
Fl 4
Brooklyn, NY 11229
Phone (718) 517-2555

Networks

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

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1750396313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COVERLY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014549",
            "telephone_number": "718-448-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294729",
            "telephone_number": "718-517-2555",
            "fax_number": "718-517-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORODOKER",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "229403-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.