Organization Active NPI

Susan a Kaminski, MD,PC

  • Ophthalmology Physician
  • Yonkers, NY
National Provider Identifier
1104118769
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
180580 Issued in NY
Legal business name
SUSAN A KAMINSKI, MD,PC
Practice address
720 Tuckahoe Rd Apt 1K
Yonkers, NY 10710-5212
Phone
(914) 793-2002
Fax
(914) 793-2757
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Susan Ann Kaminski, M.D.
Title
Owner
Phone
(914) 793-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 180580 NY Primary

Addresses

Primary practice location

720 Tuckahoe Rd Apt 1K
Yonkers, NY 10710-5212

Mailing address

720 Tuckahoe Rd Apt 1K
Yonkers, NY 10710-5212
Phone (914) 793-2002

Other identifiers 1

IdentifierTypeStateIssuer
01220731MedicaidNY

National Provider Directory

National Provider Directory

Locations

720 Tuckahoe Rd
Apt 1K
Yonkers, NY 10710
Phone (914) 793-2002

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1104118769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 TUCKAHOE RD APT 1K",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105212",
            "telephone_number": "914-793-2002",
            "fax_number": "914-793-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 TUCKAHOE RD APT 1K",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105212",
            "telephone_number": "914-793-2002",
            "fax_number": "914-793-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A KAMINSKI, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-793-2002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "180580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01220731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.