Individual provider Active NPI

Forum P Patel, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1922538354
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008637 Issued in NY
Practice address
329 E 149TH St FL 2
Bronx, NY 10451-5626
Phone
(718) 585-5500
NPI assigned
Jun 18, 2017
Last updated
Dec 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NJ
Optometrist 152W00000X 008637 NY Primary

Addresses

Primary practice location

329 E 149TH St FL 2
Bronx, NY 10451-5626

Mailing address

14 Todd St
Hillsborough, NJ 08844-7128
Phone (732) 491-1148

Other practice location 1

301 Elizabeth St Apt 9D
New York, NY 10012-2851
Phone (732) 491-1148

Other identifiers 2

IdentifierTypeStateIssuer
1922538354OtherNYNPI
05284060MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
76.67
Promoting interoperability
89
Improvement activities
40
Cost
73.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008637NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Comprehensive Medical Wellness P.C. CurrentSince Nov 24, 2018 Accepting new patients

Locations

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

Interoperability endpoints

  • Direct secure messaging: forump2@neilpatel.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1922538354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TODD ST",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088447128",
            "telephone_number": "732-491-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 149TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515626",
            "telephone_number": "718-585-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Elizabeth St Apt 9D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122851",
            "country_code": "US",
            "telephone_number": "732-491-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "FORUM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922538354",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05284060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.