Active NPI
Stephen Mario Oddo, MD
- Ophthalmology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 195022
- Practice address
- 914 Bay Ridge Pkwy
Brooklyn, NY 11228-2302 - Phone
- (718) 748-5700
- Fax
- (718) 763-0522
- NPI assigned
- Jul 20, 2006
- 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 | 195022 | NY | Primary |
Addresses
Primary practice location
914 Bay Ridge Pkwy
Brooklyn, NY 11228-2302
Mailing address
340 W 19TH St Apt 6
New York, NY 10011-3985
Phone (917) 406-3861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01722283 | 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
- Georgetown University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
650 Amboy St
Brooklyn, NY 11212-4748
Phone (917) 406-3861
914 Bay Ridge Pkwy
Brooklyn, NY 11228-2302
Phone (718) 748-5700
Hospital & facility affiliations
- Woodhull Medical & Mental Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Intermed Care PC | Past | Accepting new patients | |
| The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. | Past | Accepting new patients |
Locations
100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500
50 Water St
Fl 3
New York, NY 10004
227 Madison St
New York, NY 10002
Phone (212) 238-7000
227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- soddo563039@nychhc.direct-ci.com
Organizations & group practices 5
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Clinic/Center
- Bronx, NY
- NPI 1003824608
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Legal Medicine
- Brooklyn, NY
- NPI 1144235516
-
- Long Term Care Pharmacy
- Brooklyn, NY
- NPI 1578579124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1467469023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1114947207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W 19TH ST APT 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100113985",
"telephone_number": "917-406-3861",
"fax_number": "718-763-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 BAY RIDGE PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282302",
"telephone_number": "718-748-5700",
"fax_number": "718-763-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODDO",
"first_name": "STEPHEN",
"middle_name": "MARIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "195022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01722283",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.