Individual provider Active NPI

Ralph Paternoster, O.D.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1922079359
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UT004171 Issued in NY
Practice address
1250 Pelham Pkwy S
Bronx, NY 10461-1006
Phone
(718) 597-3530
Fax
(718) 239-6244
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UT004171 NY Primary

Addresses

Primary practice location

1250 Pelham Pkwy S
Bronx, NY 10461-1006

Mailing address

1250 Pelham Pkwy S
Bronx, NY 10461-1006
Phone (718) 597-3530

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
I20080227000069 NY Practitioner - Optometry 2365526555 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1250 Pelham Pkwy S
Bronx, NY 10461-1006
Phone (718) 597-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UT004171NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas L Slamovits MD PC PastSince Mar 14, 2002 Accepting new patients

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1922079359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611006",
            "telephone_number": "718-597-3530",
            "fax_number": "718-239-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611006",
            "telephone_number": "718-597-3530",
            "fax_number": "718-239-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERNOSTER",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UT004171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.