Individual provider Active NPI

Arkady Selenow, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1982678199
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003921-1 Issued in NY
Practice address
160 E 56TH St
Suite 300
New York, NY 10022-3609
Phone
(212) 688-4277
Fax
(212) 421-2411
NPI assigned
Feb 14, 2006
Last updated
May 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003921-1 NY Primary

Addresses

Primary practice location

160 E 56TH St
Suite 300
New York, NY 10022-3609

Mailing address

160 East 56TH St
Suite 300
Nyc, NY 10022
Phone (212) 688-4277

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
I20080915000076 NY Practitioner - Optometry 8820164973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Vision AssociatesGroup PAC ID 3476628819, 5 clinicians
New York Optometry Professional PLLCGroup PAC ID 5890169841, 26 clinicians

Practice addresses (Care Compare)

160 E 56TH St
New York, NY 10022-3609
Phone (212) 688-4277

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003921NYMDBehavioral Analyst
TUV003921-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Vision Associates Optometrist CurrentSince Jan 1, 2008 Accepting new patients
Queens Optometric Associates PC Optometrist CurrentSince Apr 28, 2015 Accepting new patients

Locations

2903 Union St
Flushing, NY 11354
Phone (718) 463-3412

160 E 56th St
Fl 7
New York, NY 10022
Phone (212) 688-4277

160 E 56th St
Ste 300
New York, NY 10022
Phone (212) 688-4277

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1982678199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 EAST 56TH ST",
            "address_2": "SUITE 300",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-688-4277",
            "fax_number": "212-421-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 56TH ST",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223609",
            "telephone_number": "212-688-4277",
            "fax_number": "212-421-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELENOW",
        "first_name": "ARKADY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003921-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.