Individual provider Active NPI

Alexandra Ruth Scherk, OD

  • Optometrist
  • Great Neck, NY
National Provider Identifier
1831683648
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008796-1 Issued in NY
Practice address
310 E Shore Rd Ste 102
Great Neck, NY 11023-2432
Phone
(516) 466-8989
Fax
(516) 466-8962
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008796-1 NY Primary

Addresses

Primary practice location

310 E Shore Rd Ste 102
Great Neck, NY 11023-2432

Mailing address

215 E 95TH St Apt 17B
New York, NY 10128-0249
Phone (516) 375-7910

Other practice location 1

1115 5th Ave
New York, NY 10128-0100
Phone (212) 517-4500

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
I20191028001899 NY Practitioner - Optometry 9739411505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth J Rosenthal MD PCGroup PAC ID 2365600582, 2 clinicians

Practice addresses (Care Compare)

1115 5TH Ave
New York, NY 10128-0100
Phone (212) 517-4500

Merit-based Incentive Payment System (MIPS)

Final score
58.22 of 100Reported as group
Quality
37.32
Improvement activities
40
Cost
44.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008796NYMDMental Health Counselor
TUV008796-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth J Rosenthal MD PC CurrentSince Oct 28, 2019 Accepting new patients
Fifth Avenue Optics, Inc. PastSince Oct 28, 2019 Accepting new patients

Locations

310 E Shore Rd
Ste 102
Great Neck, NY 11023
Phone (516) 466-8989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1831683648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 95TH ST APT 17B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280249",
            "telephone_number": "516-375-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD STE 102",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-466-8989",
            "fax_number": "516-466-8962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101280100",
            "country_code": "US",
            "telephone_number": "212-517-4500",
            "fax_number": "212-517-4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHERK",
        "first_name": "ALEXANDRA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008796-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.