Nistha Jaki, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009840 Issued in NY

Practice address

90 W 225TH St
Bronx, NY 10463-7002

Phone

(718) 664-2164

NPI assigned

May 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• National Vision Inc

  • Optician
  • Yonkers, NY
  • NPI 1437635422
  NPD (past)
• National Vision, Inc.

  • Optician
  • Bronx, NY
  • NPI 1750879169
  NPD (past)

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1841981222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W 225TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W 225TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637002",
            "telephone_number": "718-664-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2349A Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107101215",
            "country_code": "US",
            "telephone_number": "914-620-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKI",
        "first_name": "NISTHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishnu N Jaiswal, MD
• Kaddy Jaiteh
• Mariama Jaiteh
• Devmani Jaitly, M.D.
• Ahmed Kaisar Jakerin, M.D.
• Malgorzata Jakobik
• David M Jakubowicz, M.D.
• Pamela J Jakubowicz, MD
• Andrea Jakubowski, M.D.
• Jal Real Estate Ventures, LLC

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.

Verify at the official NPI Registry.