Individual provider Active NPI

Alexandra Lara Braunstein, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1811154891
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
251240 Issued in NY
Practice address
635 W 165TH St
New York, NY 10032-3724
Phone
(212) 305-9535
Fax
(212) 305-5523
NPI assigned
May 19, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 251240 NY Primary

Addresses

Primary practice location

635 W 165TH St
New York, NY 10032-3724

Mailing address

635 W 165TH Street
Harkness Eye Institute
New York, NY 10032
Phone (212) 305-6709

Other practice location 1

1945 Cei Dr
Cincinnati, OH 45242-5664
Phone (513) 569-3741

Other identifiers 4

IdentifierTypeStateIssuer
3146116MedicaidOH
000000706754OtherOHBCBS/ANTHEM
201023550MedicaidIN
7100160610MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131017001966 NY Practitioner - Ophthalmology 6204013758 Reassigns benefits to 2 organizations
I20131022001830 NJ Practitioner - Ophthalmology 6204013758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

95 Madison Ave
Suite 305
Morristown, NJ 07960-6389
Phone (973) 998-8701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.55 of 100Reported as group
Quality
99.11
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Oculoplastic Consultants, LLC Ophthalmology CurrentSince Sep 1, 2013 Accepting new patients
Neigel Center, PA CurrentSince Jan 9, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Apr 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 1, 2015 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Mar 1, 2015 Accepting new patients

Locations

254 Columbia Tpke
Ste 200
Florham Park, NJ 07932
Phone (973) 410-1100

95 Madison Ave
Ste 305
Morristown, NJ 07960
Phone (973) 998-8701

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

610 W 158th St
New York, NY 10032
Phone (212) 544-1860

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

635 W 165th St
New York, NY 10032
Phone (212) 305-3039

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811154891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W 165TH STREET",
            "address_2": "HARKNESS EYE INSTITUTE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-6709",
            "fax_number": "212-305-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323724",
            "telephone_number": "212-305-9535",
            "fax_number": "212-305-5523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Cei Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452425664",
            "country_code": "US",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUNSTEIN",
        "first_name": "ALEXANDRA",
        "middle_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "251240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3146116",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/ANTHEM",
            "identifier": "000000706754",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201023550",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100160610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.