Individual provider Active NPI

Sarah Taj

  • Optometrist
  • Bayside, NY
National Provider Identifier
1871485276
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011243 Issued in NY
Practice address
20020 44TH Ave FL 2
Bayside, NY 11361-2658
Phone
(718) 423-2020
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011243 NY Primary

Addresses

Primary practice location

20020 44TH Ave FL 2
Bayside, NY 11361-2658

Mailing address

20020 44TH Ave FL 2
Bayside, NY 11361-2658
Phone (718) 423-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20020 44TH Ave
Bayside, NY 11361-2537
Phone (718) 423-2020

4306 20TH Rd
Astoria, NY 11105-1244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011243NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nissirios Ophthalmology PC CurrentSince Sep 22, 2014 Accepting new patients

Locations

2309 31st St
Ste 1
Astoria, NY 11105
Phone (718) 278-2020

20020 44th Ave
Fl 2
Bayside, NY 11361
Phone (718) 278-2020

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": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1871485276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20020 44TH AVE FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612658",
            "telephone_number": "718-423-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20020 44TH AVE FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612658",
            "telephone_number": "718-423-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJ",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.