Active NPI
Emily Aristizabal, OD
- Optometrist
- Yonkers, NY
National Provider Identifier
1821762972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009427
- Practice address
- 100 New Main St
Yonkers, NY 10701-3808 - Phone
- (914) 965-5367
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 009427 | NY | Primary |
Addresses
Primary practice location
100 New Main St
Yonkers, NY 10701-3808
Mailing address
189 Elizabeth St
Pearl River, NY 10965-3008
Phone (845) 664-4842
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211217000139 | NY | Practitioner - Optometry | 9032500574 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009427 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1821762972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 ELIZABETH ST",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109653008",
"telephone_number": "845-664-4842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NEW MAIN ST",
"city": "YONKERS",
"state": "NY",
"postal_code": "107013808",
"telephone_number": "914-965-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARISTIZABAL",
"first_name": "EMILY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.