Active NPI
Susan a Kaminski, MD,PC
- Ophthalmology Physician
- Yonkers, NY
National Provider Identifier
1104118769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 180580
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01220731 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.