Individual provider Active NPI

Mark Flugman, M.D.

  • Ophthalmology Physician
  • Rockville Centre, NY
National Provider Identifier
1013901024
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
141643 Issued in NY
Practice address
176 N Village Ave
Suite # 2a
Rockville Centre, NY 11570-3800
Phone
(516) 766-6400
Fax
(516) 766-6457
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 141643 NY Primary

Addresses

Primary practice location

176 N Village Ave
Suite # 2a
Rockville Centre, NY 11570-3800

Mailing address

176 N Village Ave
Suite # 2a
Rockville Centre, NY 11570-3800
Phone (516) 766-6400

Other identifiers 5

IdentifierTypeStateIssuer
AS677OtherNYOXFORD ID #
0092460OtherNYGHI ID #
00831829MedicaidNY
0098128OtherNYAETNA US HEALTHCARE #
6531OtherNYVYTRA ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101104000457 NY Practitioner - Ophthalmology 8729100185 Practice locations: Rockville Centre, NY
O20100930046645 NY DME Supplier - Physician - Ophthalmology 8426178187 Practice locations: Rockville Centre, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

176 N Village Ave
Rockville Centre, NY 11570-3800
Phone (516) 766-6400

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141643NYMDOphthalmology Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1013901024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE",
            "address_2": "SUITE # 2A",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-766-6400",
            "fax_number": "516-766-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE",
            "address_2": "SUITE # 2A",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-766-6400",
            "fax_number": "516-766-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUGMAN",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "141643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "AS677",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID #",
            "identifier": "0092460",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00831829",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE #",
            "identifier": "0098128",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA ID #",
            "identifier": "6531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.