Individual provider Active NPI

Igor Rozhansky

  • Optician
  • New York, NY
National Provider Identifier
1952746752
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008790-1 Issued in NY
Practice address
288 Columbus Ave
New York, NY 10023-2302
Phone
(212) 501-7070
Fax
(212) 712-9422
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 008790-1 NY Primary

Addresses

Primary practice location

288 Columbus Ave
New York, NY 10023-2302

Mailing address

98 Saint Johns Ave
Staten Island, NY 10305-3026
Phone (212) 501-7070

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008790-1NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1952746752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SAINT JOHNS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053026",
            "telephone_number": "212-501-7070",
            "fax_number": "212-712-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232302",
            "telephone_number": "212-501-7070",
            "fax_number": "212-712-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZHANSKY",
        "first_name": "IGOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008790-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.