Active NPI
Neil Scott Nichols, M.D.
- Ophthalmology Physician
- Brentwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 244448
- Practice address
- 601 Suffolk Ave
Brentwood, NY 11717-4309 - Phone
- (855) 295-4144
- Fax
- (631) 257-5098
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 244448 | NY | Primary |
Addresses
Primary practice location
601 Suffolk Ave
Brentwood, NY 11717-4309
Mailing address
125 Kennedy Dr Ste 400
Hauppauge, NY 11788-4017
Phone (855) 295-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03038497 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Tufts University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
601 Suffolk Ave
Brentwood, NY 11717-4309
Phone (631) 231-4949
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.5 of 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sight Medical Doctors PLLC | Ophthalmology | Current | Accepting new patients |
| Sight Medical Doctors PLLC | Current | Accepting new patients |
Locations
805 Broadway
Ste 106
Amityville, NY 11701
Phone (631) 957-3355
375 E Main St
Ste 24
Bay Shore, NY 11706
Phone (631) 665-1330
601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384
902 49th St
Brooklyn, NY 11219
Phone (718) 283-7999
250 Patchogue Yaphank Rd
Ste 1
East Patchogue, NY 11772
Phone (631) 289-0678
110 Marcus Blvd
Ste 400
Hauppauge, NY 11788
Phone (631) 612-2770
125 Kennedy Dr
Ste 400
Hauppauge, NY 11788
114 E 27th St
New York, NY 10016
Phone (212) 481-4000
1500 Route 112
Bldg 6
Port Jefferson Station, NY 11776
Phone (631) 686-7890
153 Main St
Sayville, NY 11782
Phone (631) 244-0300
260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Hauppauge, NY
- NPI 1487077483
-
- Durable Medical Equipment & Medical Supplies
- Johnson City, NY
- NPI 1730040700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1114140266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 KENNEDY DR STE 400",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884017",
"telephone_number": "855-295-4144",
"fax_number": "631-257-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SUFFOLK AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117174309",
"telephone_number": "855-295-4144",
"fax_number": "631-257-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "NEIL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "244448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03038497",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.