Marissa Brooke Israel

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007034 Issued in NY

Practice address

399 Kearny Ave
Kearny, NJ 07032-2603

Phone

(201) 991-8826

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Marissa Brooke Israel Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

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

State licenses

Practice roles

Locations

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.

• Marissa Israel, O.D., LLC

  • Optometrist
  • Kearny, NJ
  • NPI 1578338406

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Sight Services P.C.

  • Optometrist
  • Newark, NJ
  • NPI 1255720124

  NJ, Optometrist

  Medicare reassignment NPD
• Edward S Maslansky, O.D.

  • Optometrist
  • Red Bank, NJ
  • NPI 1497832703

  NJ

  Medicare reassignment

Specialty

Optometry

Education

State University of New York - State College Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marissa Israel, O.D., LLC 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1922016450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BROADWAY",
            "address_2": "SUITE 908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041703",
            "telephone_number": "212-425-2115",
            "fax_number": "212-425-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322603",
            "telephone_number": "201-991-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "MARISSA",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00604300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "ISRAEL",
            "middle_name": "BROOKE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• James J Sanfilippo DC PA

• All providers in Kearny, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.
• 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.