Peter Condax, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

204160 Issued in NY

Practice address

2747 Crescent St
Suite 202
Astoria, NY 11102-3142

Phone

(718) 204-5250

Fax

(718) 728-4191

NPI assigned

Mar 31, 2006

Last updated

Apr 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Ophthalmology

Education

New York University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peter Condax MD PCGroup PAC ID 5991890840, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: pcondax@condax.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter Condax, M.D. PC

  • Ophthalmology Physician
  • Astoria, NY
  • NPI 1972704450
  Medicare reassignment Care Compare group NPD Authorized official
• Retina Specialists of New York, PLLC

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1114721396
  Medicare reassignment NPD
• Peter Condax MD PC

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1962698662
  NPD (past) Authorized official
• Diagnostic Radiology for Women PC

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1316149560
  NPD (past)
• Mignone Medical Eye Care, P.C.

  • Ophthalmology Physician
  • Yonkers, NY
  • NPI 1225073869
  NPD (past)
• New York Queens Medicine and Surgery, P.C.

  • Multi-Specialty Clinic/Center
  • Flushing, NY
  • NPI 1740792233
  NPD (past)
• P.a. Terraciano, M.D., P.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1316084387
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1033170675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "SUITE 202",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-204-5250",
            "fax_number": "718-728-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "SUITE 202",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-204-5250",
            "fax_number": "718-728-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDAX",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "204160",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "204160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01976585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Su Comiskey, PA-C
• Community Healthcare Network, Inc
• Communties Care
• Courtney Conboy
• Concierge Premium Eyecare LLC (Astoria Park Eyecare)
• Kerstin Connaire, NP
• Andrea Elizabeth Connelly
• Mia Connolly, OTR/L
• Jennifer Consiglio-Gibbons
• Steve Constantinides

• Ophthalmology Physician in Astoria, NY
• Providers in Astoria, 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 Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.