Active NPI
Dalia Shoretz Nagel, M.D.
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1104083245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 240715
- Practice address
- 229 E 79TH St Ste 1L
New York, NY 10075-0866 - Phone
- (212) 861-6200
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 240715 | NY | Primary |
Addresses
Primary practice location
229 E 79TH St Ste 1L
New York, NY 10075-0866
Mailing address
1249 Park Ave Apt 6F
New York, NY 10029-7211
Phone (917) 723-9696
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240715 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients |
Locations
110 W 97th St
#0
New York, NY 10025
University Eye Ctr
New York, NY 10087
33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930
110 W 97th St
New York, NY 10025
Phone (212) 316-7906
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dalia.nagel.p1@direct.opt.nextgenshare.com
Organizations & group practices 5
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.
-
- Optometrist
- New York, NY
- NPI 1407829856
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851328199
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1043079064
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1730317769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1104083245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 PARK AVE APT 6F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297211",
"telephone_number": "917-723-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 E 79TH ST STE 1L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750866",
"telephone_number": "212-861-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "DALIA",
"middle_name": "SHORETZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "240715",
"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 May 16, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.