NPIMap

Organization Active NPI

Clearly Madison, LLC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1033496591
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
187808-1 Issued in NY
Legal business name
CLEARLY MADISON, LLC
Practice address
161 Madison Ave
Suite 5SE
New York, NY 10016-5421
Phone
(212) 448-0101
Fax
(212) 448-0116
NPI assigned
Nov 12, 2011
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Joshua Abba Young, M.D,NPI 1598794018
Title
President
Phone
(212) 448-0101

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 187808-1 NY Primary

Addresses

Primary practice location

161 Madison Ave
Suite 5SE
New York, NY 10016-5421

Mailing address

161 Madison Ave
Suite 5SE
New York, NY 10016-5421
Phone (212) 448-0101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1033496591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MADISON AVE",
            "address_2": "SUITE 5SE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165421",
            "telephone_number": "212-448-0101",
            "fax_number": "212-448-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MADISON AVE",
            "address_2": "SUITE 5SE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165421",
            "telephone_number": "212-448-0101",
            "fax_number": "212-448-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLY MADISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-12",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ABBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-448-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "187808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 5, 2012; 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.