Active NPI
Jeffrey Genshaft, O.D.
- Optometrist
- Hyde Park, NY
National Provider Identifier
1942205885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003638-1
- Practice address
- 4246 Albany Post Rd
Hyde Park, NY 12538-1700 - Phone
- (845) 229-9118
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003638-1 | NY | Primary |
Addresses
Primary practice location
4246 Albany Post Rd
Hyde Park, NY 12538-1700
Mailing address
4246 Albany Post Rd
Hyde Park, NY 12538-1700
Phone (845) 229-9118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00643949 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003638-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1942205885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4246 ALBANY POST RD",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125381700",
"telephone_number": "845-229-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4246 ALBANY POST RD",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125381700",
"telephone_number": "845-229-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENSHAFT",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003638-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00643949",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.