NPIMap

Organization Active NPI

Ken Moadel M.D,P.C.

  • Ophthalmologic Surgery Clinic/Center
  • New York, NY
National Provider Identifier
1023189263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
182752 Issued in NY
Legal business name
KEN MOADEL M.D,P.C.
Practice address
317 Madison Ave
New York, NY 10017-5201
Phone
(212) 490-3937
Fax
(212) 490-0092
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ken Moadel, M.D.NPI 1407972326
Title
Doctor
Phone
(212) 490-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 182752 NY Primary

Addresses

Primary practice location

317 Madison Ave
New York, NY 10017-5201

Mailing address

317 Madison Ave
New York, NY 10017-5201
Phone (212) 490-3937

Other names 1

  • New York Eye Specialists Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023189263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175201",
            "telephone_number": "212-490-3937",
            "fax_number": "212-490-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175201",
            "telephone_number": "212-490-3937",
            "fax_number": "212-490-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN MOADEL M.D,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOADEL",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-490-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NY",
            "license": "182752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Eye Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.