Phyllis Gorelick · Optometrist

1953 Grand Ave, North Baldwin, NY 11510-2820

Overview

Phyllis Gorelick is a Optometrist practicing in Jamaica, New York. The National Provider Identifier (NPI) is #1194815316, which was assigned on October 16, 2006, and the registration record was last updated on September 2, 2025. The practitioner's main practice location is at 159-03 Jamaica Ave, Jamaica, NY 11434; the contact telephone number is 3479770118, and the fax number is 3479770118. The primary taxonomy of Phyllis Gorelick is Optometrist (152W00000X). Phyllis Gorelick is licensed to practice in the state of New York (#UT004997-1).

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Provider Information

NPI 1194815316
Entity Type Individual
Provider Name DR. PHYLLIS GORELICK
Gender Female
Credential O.D.
Practice Address 159-03 Jamaica Ave
Jamaica
NY 11434
Practice Telephone 3479770118
Practice Fax Number 3479770118
Mailing Address 1953 Grand Ave
North Baldwin
NY 11510-2820
Mailing Telephone 5168646298
Certification Date 2025-09-02
Enumeration Date 2006-10-16
Last Update Date 2025-09-02
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 2062478944
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name PHYLLIS GORELICK
Medical School STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Primary Specialty OPTOMETRY
Address 15903 Jamaica Ave
Jamaica
NY 11432-6002

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y152W00000XOptometristUT004997-1NY

Taxonomy Information

Primary Taxonomy

Code 152W00000X
Taxonomy Optometrist
Classification Optometrist
Grouping Eye and Vision Services Providers
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA's Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

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Chinook Eye Center 419 Pennsylvania St, Chinook, MT 59523-9726Optometrist2026-04-10
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Ae Vision LLC 34-36 Progress St Ste B4, Edison, NJ 08820-1197Optometrist2026-04-09
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Location Information

Street Address 1953 GRAND AVE
City NORTH BALDWIN
State NY
Zip Code 11510-2820
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jared Weir 1040 Alexander Pl, North Baldwin, NY 11510-1520Behavioral Analyst2026-04-03
Randy F Lomboy 2016 Grand Ave, North Baldwin, NY 11510-2811Physical Therapist2007-07-10
Lynda Denee Jones-Johnson 696 Stowe Ave, North Baldwin, NY 11510-1808Mental Health Counselor2026-01-10
Stephanie Michelle Paterno 1976 Grand Ave, North Baldwin, NY 11510-2813Social Worker2024-11-25
Joyce Dabiri 4 Elmwood St, North Baldwin, NY 11510-2116Registered Nurse2025-10-08
Rose Fiona White · Rose Fiona Goss 1351 Tanwood Dr, North Baldwin, NY 11510-1934Registered Nurse2026-01-22
Fayona Brun-Ezeocha 964 Woodoak Drive, Baldwin, NY 11510General Practice Registered Nurse2025-07-28
Maria Del Carmen Antoine 3098 Ann St, Baldwin, NY 11510School Psychologist2012-01-06
Jennifer Lipack Po Box 256, Baldwin, NY 11510-0256Mental Health Counselor2010-10-13
Godfrid Bosse 1058 Clyde Rd, North Baldwin, NY 11510-1211Home Health Registered Nurse2026-03-03
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.