Yelena Pinkhasova, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

007499 Issued in NY

Practice address

3083 Bainbridge Ave
Bronx, NY 10467-3904

Phone

(718) 655-6040

Fax

(718) 655-0348

NPI assigned

Nov 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bainbridge Optical CorpGroup PAC ID 8820178429, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bainbridge Optical Corp

  • Optometrist
  • Bronx, NY
  • NPI 1497941892
  Medicare reassignment Care Compare group
• Bainbridge Family Medical Care PC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1487716015
  NPD (past)

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1942537964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673904",
            "telephone_number": "718-655-6040",
            "fax_number": "718-655-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673904",
            "telephone_number": "718-655-6040",
            "fax_number": "718-655-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKHASOVA",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03395957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chana Adena Pinkerson, AU.D., CCC-A
• Heidi Mercedes Pinkert, MD
• David S Pinkhasov, DDS
• Jessica Pinkhasov
• Tamara Pinkhasova, MD
• Pinnacle Dental Care P.C.
• Pinnacle Home Care, LLC
• Sridevi Pinnamaneni, MD
• Laceyann Deandrez Pinnock-Souffrant, MSSPED
• Francine Pinnock

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.