MEDICARE: PREYA BALROOP OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV009837	NY

General Provider Information

NPI Number	:	1023795713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PREYA BALROOP OD

Provider Business Mailing Address
First Line	:	8425 89TH ST
Second Line	:
City	:	WOODHAVEN
State	:	NY
Zip	:	11421-1323
Country	:	US
Telephone Number	:	347-735-1481
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 MAPLE AVE STE 248
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-3407
Country	:	US
Telephone Number	:	908-222-8700
Fax Number	:	908-222-8770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	02/18/2026

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