New York Glaucoma Medical PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NEW YORK GLAUCOMA MEDICAL PC

Practice address

455 Kings Hwy
1St Floor
Brooklyn, NY 11223-1803

Phone

(718) 645-2201

Fax

(718) 645-2207

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Irina Pankova, DONPI 1023023777

Title

President

Phone

(718) 645-2201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irina Pankova, DO

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1023023777
  Medicare reassignment NPD Authorized official
• Cecilia Qianwen Dong, MD

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1376958660
  Medicare reassignment NPD
• Diana Lakovitsky, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1164522645
  Medicare reassignment NPD
• Dennis M Metz, MD

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1063519775
  Medicare reassignment NPD
• Alexander Zeldin, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1275167793
  Medicare reassignment NPD
• Brett Bielory, M.D.

  • Ophthalmology Physician
  • Rutherford, NJ
  • NPI 1437592946

  NY

  Medicare reassignment NPD
• Joseph Richard Podhorzer, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Brooklyn, NY
  • NPI 1073515847
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1013020296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 OCEANA DR E",
            "address_2": "SUITE 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356686",
            "telephone_number": "718-645-2201",
            "fax_number": "718-645-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 KINGS HWY",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231803",
            "telephone_number": "718-645-2201",
            "fax_number": "718-645-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK GLAUCOMA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "PANKOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-645-2201",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.