Individual provider Active NPI

Trusha Patel, O.D.

  • Optometrist
  • Paterson, NJ
National Provider Identifier
1972943512
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008012 Issued in NY
Practice address
680 Broadway
Suite 114
Paterson, NJ 07514-1524
Phone
(973) 742-4747
Fax
(973) 742-0629
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008012 NY Primary

Addresses

Primary practice location

680 Broadway
Suite 114
Paterson, NJ 07514-1524

Mailing address

680 Broadway
Suite 114
Paterson, NJ 07514-1524
Phone (973) 742-4747

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131022001335 NY Practitioner - Optometry 1658506951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mignone Medical Eye Care, P.C.Group PAC ID 3173413713, 4 clinicians

Practice addresses (Care Compare)

202 Stevens Ave
Mount Vernon, NY 10550-2592
Phone (914) 664-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008012NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Optometrist CurrentSince Sep 20, 2013 Accepting new patients
Mignone Medical Eye Care, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Mignone Medical Eye Care, P.C. CurrentSince Dec 1, 2022 Accepting new patients
State of New York Comptrollers Office CurrentSince Sep 20, 2013 Accepting new patients

Locations

292 Katonah Ave
Unit 841
Katonah, NY 10536

202 Stevens Ave
Mount Vernon, NY 10550
Phone (914) 237-2002

University Eye Ctr
New York, NY 10087

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

Organizations & group practices 4

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1972943512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "SUITE 114",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141524",
            "telephone_number": "973-742-4747",
            "fax_number": "973-742-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "SUITE 114",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141524",
            "telephone_number": "973-742-4747",
            "fax_number": "973-742-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TRUSHA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.