Individual provider Active NPI

Martin Belkowitz, M.D.

  • Ophthalmology Physician
  • East Syracuse, NY
National Provider Identifier
1093816019
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
113235 Issued in NY
Practice address
5770 Commons Park
East Syracuse, NY 13057-9400
Phone
(315) 445-1577
Fax
(315) 445-4862
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 113235 NY Primary

Addresses

Primary practice location

5770 Commons Park
East Syracuse, NY 13057-9400

Mailing address

5770 Commons Park
East Syracuse, NY 13057-9400
Phone (315) 445-1577

Other identifiers 2

IdentifierTypeStateIssuer
00558874MedicaidNY
113235OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Medical and Surgical Eye Care PC Past Accepting new patients
Ophthalmology Medical Service Group Inc Ophthalmology PastSince Jan 16, 1997 Accepting new patients
Cny Medical and Surgical Eye Care PC Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mbelkowitz@cnyeyecare.medentdirect.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1093816019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 COMMONS PARK",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579400",
            "telephone_number": "315-445-1577",
            "fax_number": "315-445-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 COMMONS PARK",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579400",
            "telephone_number": "315-445-1577",
            "fax_number": "315-445-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELKOWITZ",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "113235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00558874",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "113235",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.