Organization Active NPI

Optometric Office of Cheryl Berger Israeloff, O.D., PLLC

  • Optometrist
  • Garden City, NY
National Provider Identifier
1770968216
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005206 Issued in NY
Legal business name
OPTOMETRIC OFFICE OF CHERYL BERGER ISRAELOFF, O.D., PLLC
Practice address
300 Garden City PLZ
Suite 404
Garden City, NY 11530-3302
Phone
(516) 224-4888
Fax
(516) 280-7502
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Dr. Cheryl Berger Israeloff, O. D.
Title
Owner
Phone
(516) 224-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV005206 NY Primary

Addresses

Primary practice location

300 Garden City PLZ
Suite 404
Garden City, NY 11530-3302

Mailing address

300 Garden City PLZ
Suite 404
Garden City, NY 11530-3302

Other names 1

  • Neuro Visual Center of New York Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150923000284 NY Part B Supplier - Clinic/Group Practice 1355658352 Receives reassigned benefits from 2 practitioners
Practice locations: Garden City, NY

National Provider Directory

National Provider Directory

Locations

300 Garden City Plz
Ste 404
Garden City, NY 11530
Phone (516) 224-4888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1770968216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ",
            "address_2": "SUITE 404",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ",
            "address_2": "SUITE 404",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303302",
            "telephone_number": "516-224-4888",
            "fax_number": "516-280-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC OFFICE OF CHERYL BERGER ISRAELOFF, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "BERGER ISRAELOFF",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-224-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Visual Center of New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.