Individual provider Active NPI

Gerald Norman Saffer, MD

  • Ophthalmology Physician
  • West Nyack, NY
National Provider Identifier
1013043587
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
122910 Issued in NY
Practice address
14 Doscher Ave
West Nyack Med BLDG Suite C
West Nyack, NY 10994-2631
Phone
(845) 353-0668
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 122910 NY Primary

Addresses

Primary practice location

14 Doscher Ave
West Nyack Med BLDG Suite C
West Nyack, NY 10994-2631

Mailing address

14 Doscher Ave
West Nyack Med BLDG Suite C
West Nyack, NY 10994-2631
Phone (845) 353-0668

Other identifiers 1

IdentifierTypeStateIssuer
00250308MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
122910NYMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1013043587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOSCHER AVE",
            "address_2": "WEST NYACK MED BLDG SUITE C",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942631",
            "telephone_number": "845-353-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DOSCHER AVE",
            "address_2": "WEST NYACK MED BLDG SUITE C",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942631",
            "telephone_number": "845-353-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFER",
        "first_name": "GERALD",
        "middle_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "122910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00250308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.