Ophthalmology Specialist of Queens PLLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

OPHTHALMOLOGY SPECIALIST OF QUEENS PLLC

Practice address

10005 Roosevelt Ave Ste 202
Corona, NY 11368-4880

Phone

(917) 832-7557

Fax

(919) 832-7503

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Juan M Horta-Santini, MDNPI 1427243328

Title

Sole Member

Phone

(917) 832-7557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Juan M Horta-Santini, M.D.

  • Ophthalmology Physician
  • Corona, NY
  • NPI 1427243328
  Medicare reassignment NPD Authorized official
• Hannah Rosa Fabiny, OD

  • Optometrist
  • New York, NY
  • NPI 1447929088
  Medicare reassignment NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1033712567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 ROOSEVELT AVE STE 202",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684880",
            "telephone_number": "917-832-7557",
            "fax_number": "919-832-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 ROOSEVELT AVE STE 202",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684880",
            "telephone_number": "917-832-7557",
            "fax_number": "919-832-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY SPECIALIST OF QUEENS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "HORTA-SANTINI",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "917-832-7557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thercy Saint Jean Olivert, LPN
• Omprakash Ramani MD PC
• One Family Pharmacy Inc.
• Chinwe Onodu, RN
• Barifi Opare-Addo, MD
• Ophthalmology Specialists of New York LLC
• Oral and Maxillofacial Surgery of Queens
• Charisse Dianne Oralde, PT
• Katherine A Orellana, M.A., CCC-SLP
• Kenneth Osterman

• Ophthalmologic Surgery Clinic/Center in Corona, NY
• Providers in Corona, NY by specialty
• Ophthalmologic Surgery Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.