Individual provider Active NPI

Angela NG, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1790838183
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006144 Issued in NY
Practice address
87 Elizabeth Street
Pacific Optometry, P.C.
New York, NY 10013
Phone
(212) 219-8260
Fax
(212) 219-8283
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006144 NY Primary

Addresses

Primary practice location

87 Elizabeth Street
Pacific Optometry, P.C.
New York, NY 10013

Mailing address

855 72ND St
Brooklyn, NY 11228-1051
Phone (917) 596-9402

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
I20251020001561 NY Practitioner - Optometry 9830298389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

210 E 64TH St
FL 6
New York, NY 10065-7471
Phone (212) 702-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006144NYMDMental Health Counselor
TUV006144NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Sep 8, 2025 Accepting new patients

Locations

210 E 64th St
Fl 6
New York, NY 10065
Phone (212) 702-7670

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: ang26@northwellhealth.intellechartdirect.net
  • Direct secure messaging: ang397522@northwell.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1790838183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281051",
            "telephone_number": "917-596-9402",
            "fax_number": "212-219-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ELIZABETH STREET",
            "address_2": "PACIFIC OPTOMETRY, P.C.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-219-8260",
            "fax_number": "212-219-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.