Individual provider Active NPI

Roslyn Stahl, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1104944859
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
248819 Issued in NY
Practice address
178 E 71St St
New York, NY 10021-5131
Phone
(212) 717-2200
Fax
(212) 717-7377
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA08608600 NJ
Ophthalmology Physician 207W00000X 248819 NY Primary

Addresses

Primary practice location

178 E 71St St
New York, NY 10021-5131

Mailing address

304 W 107TH St
Apt 1B
New York, NY 10025-2717
Phone (917) 771-9508

Other practice location 1

635 W 165th Street
New York, NY 10032-5131
Phone (212) 305-9535

Other identifiers 1

IdentifierTypeStateIssuer
03041150MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081030000247 NY Practitioner - Ophthalmology 3779642103 Reassigns benefits to 2 organizations
I20091022000208 NJ Practitioner - Ophthalmology 3779642103 Reassigns benefits to 1 organization
Practice locations: Oradell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corey M. Notis, M.D., P.a.Group PAC ID 1456365154, 12 clinicians
Trustees of Columbia University in the City of New YorkGroup PAC ID 8527972546, shared by 10 NPIs, 2,262 clinicians

Practice addresses (Care Compare)

155 Morris Ave
Suite 302
Springfield, NJ 07081-1224
Phone (973) 232-6900

51 W 51St St
FL 3 Suite 360
New York, NY 10019-6113
Phone (212) 326-8426

635 W 165TH St
New York, NY 10032-3797
Phone (212) 305-5994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
97
Improvement activities
40
Cost
77.62

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corey M. Notis, M.D., P.a. Ophthalmology CurrentSince Apr 7, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 1, 2013 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Apr 1, 2013 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Apr 1, 2018 Accepting new patients
Corey M. Notis, M.D., P.a. Ophthalmology CurrentSince Apr 7, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology Past Accepting new patients
Nourish Your Body, LLC Past Accepting new patients
Connie L Dimari Ophthalmology Past Accepting new patients

Locations

155 Morris Ave
Ste 302
Springfield, NJ 07081
Phone (973) 232-6900

900 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-9330

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

635 W 165th St
New York, NY 10032
Phone (212) 305-3039

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

506 Malcolm X Blvd
#522
New York, NY 10037
Phone (212) 491-1583

635 W 165th St
#308
New York, NY 10032

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rstahl@associneyecare.direct.eyemdemr.com
  • Direct secure messaging: rms9011@direct.nyp.org
  • Direct secure messaging: roslyn.stahl.d2.p7@direct.grophthalmology.nextgenshare.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104944859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 107TH ST",
            "address_2": "APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252717",
            "telephone_number": "917-771-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215131",
            "telephone_number": "212-717-2200",
            "fax_number": "212-717-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 W 165th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100325131",
            "country_code": "US",
            "telephone_number": "212-305-9535",
            "fax_number": "212-305-5523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "ROSLYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08608600",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "248819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03041150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.