Mitchell S. Seidman Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

266221 Issued in NY

Legal business name

MITCHELL S. SEIDMAN PROFESSIONAL CORPORATION

Practice address

2989 Ocean Pkwy
Ground Floor
Brooklyn, NY 11235-8389

Phone

(718) 332-2020

Fax

(718) 332-3248

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Steven Seidman, D.O.NPI 1013999697

Title

Owner/Ophthalmologist

Phone

(718) 332-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mitchell S Seidman Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mitchell S. Seidman, Professional Corporation

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1508197062
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Steven Seidman, DO

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1013999697
  NPD (past) Authorized official

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1104365345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2989 OCEAN PKWY",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358389",
            "telephone_number": "718-332-2020",
            "fax_number": "718-332-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 OCEAN PKWY",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358389",
            "telephone_number": "718-332-2020",
            "fax_number": "718-332-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL S. SEIDMAN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "SEIDMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "718-332-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "266221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04157351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Elizabeth Mita
• Kumiko Mitarai
• Davianna Mitchelin
• Mitchell E Lipton MD PC
• Mitchell R. Epstein MD PC
• Mitchell S. Seidman, Professional Corporation
• Heather Dawn Mitchell-Hunt
• Ann Marie J Mitchell, SPECIAL EDUCATOR
• Ari Mitchell
• Arlene Nicole Mitchell, LPN

• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.