NPIMap

Organization Active NPI

Seidenberg Protzko Eye Associates

  • Ophthalmology Physician
  • Havre de Grace, MD
National Provider Identifier
1124065800
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0038724 Issued in MD
Legal business name
SEIDENBERG PROTZKO EYE ASSOCIATES
Practice address
2023 Pulaski Highway
Havre de Grace, MD 21078-3719
Phone
(410) 939-6477
Fax
(410) 939-6555
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Dr. Jonathan Allan Seidenberg, M.D.NPI 1790787927
Title
President
Phone
(410) 939-6477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0038724 MD Primary

Addresses

Primary practice location

2023 Pulaski Highway
Havre de Grace, MD 21078-3719

Mailing address

2023 Pulaski Highway
Havre de Grace, MD 21078-3719
Phone (410) 939-6477

Other identifiers 1

IdentifierTypeStateIssuer
518901200MedicaidMD

National Provider Directory

National Provider Directory

Locations

360 E Pulaski Hwy
Ste 1A
Elkton, MD 21921
Phone (410) 620-3600

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1124065800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HIGHWAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783719",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HIGHWAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783719",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDENBERG PROTZKO EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "SEIDENBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-939-6477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0038724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518901200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.