New York Ophthalmology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

178829 Issued in NY

Legal business name

NEW YORK OPHTHALMOLOGY, PC

Practice address

360 S Oyster Bay Rd
Hicksville, NY 11801-3508

Phone

(516) 938-6363

Fax

(516) 938-6452

NPI assigned

Dec 15, 2006

Last updated

Jul 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Zagelbaum, M.D.NPI 1679514327

Title

President

Phone

(516) 938-6363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Bruce Mitchel Zagelbaum, M.D.

  • Ophthalmology Physician
  • Hicksville, NY
  • NPI 1679514327
  Medicare reassignment NPD Authorized official
• Howard Adam Lane, M.D.

  • Ophthalmology Physician
  • New Hyde Park, NY
  • NPI 1366415135
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1073675831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-938-6363",
            "fax_number": "516-938-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-938-6363",
            "fax_number": "516-938-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "ZAGELBAUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-938-6363",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "178829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New York Manual Therapy
• New York Urgent Care PC
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• Julia Newman
• Nexacare Medical Inc
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• Specialist in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.