Organization Active NPI

Newburgh Eye Associates Physicians & Surgeons, PC

  • Ophthalmology Physician
  • Newburgh, NY
National Provider Identifier
1104975986
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
124684-1 Issued in NY
Legal business name
NEWBURGH EYE ASSOCIATES PHYSICIANS & SURGEONS, PC
Practice address
313 Fullerton Ave
Newburgh, NY 12550-3723
Phone
(845) 561-4274
Fax
(845) 561-6665
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Authorized official

Name
Dr. David Alan Goldfarb, M.D.
Title
President
Phone
(845) 561-4274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 124684-1 NY Primary

Addresses

Primary practice location

313 Fullerton Ave
Newburgh, NY 12550-3723

Mailing address

313 Fullerton Ave
Newburgh, NY 12550-3723
Phone (845) 561-4274

Other identifiers 1

IdentifierTypeStateIssuer
00534749MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1183939200000",
    "number": "1104975986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503723",
            "telephone_number": "845-561-4274",
            "fax_number": "845-561-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FULLERTON AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503723",
            "telephone_number": "845-561-4274",
            "fax_number": "845-561-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURGH EYE ASSOCIATES PHYSICIANS & SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-561-4274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "124684-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00534749",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.