Individual provider Active NPI

Maya Poplyansky, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1952896664
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008809 Issued in NY
Practice address
454 Lenox Ave
New York, NY 10037
Phone
(212) 368-2020
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008809 NY Primary

Addresses

Primary practice location

454 Lenox Ave
New York, NY 10037

Mailing address

454 Lenox Ave
New York, NY 10037-3320

Other practice location 1

454 Lenox Ave
New York, NY 10037
Phone (212) 368-2020

Other practice location 2

230 W Jersey St
Elizabeth, NJ 07202-1364
Phone (908) 289-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200106000647 NJ Practitioner - Optometry 4183974231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Short Hills Ophthalmology LLCGroup PAC ID 7719871615, 6 clinicians

Practice addresses (Care Compare)

551 Millburn Ave
Short Hills, NJ 07078-3330
Phone (973) 379-2544

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
89.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008809NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Short Hills Ophthalmology LLC Optometrist CurrentSince Mar 2, 2020 Accepting new patients

Locations

777 Passaic Ave
Ste 485
Clifton, NJ 07012
Phone (973) 473-1515

551 Millburn Ave
Short Hills, NJ 07078
Phone (973) 379-2544

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1952896664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-368-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10037",
            "country_code": "US",
            "telephone_number": "212-368-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Jersey St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072021364",
            "country_code": "US",
            "telephone_number": "908-289-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPLYANSKY",
        "first_name": "MAYA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.