Organization Active NPI

Hindola Konrad MD PC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1124292982
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2007701 Issued in NY
Legal business name
HINDOLA KONRAD MD PC
Practice address
240 W 98TH St Apt 1C
New York, NY 10025-5501
Phone
(212) 758-0388
Fax
(646) 864-0710
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Araceli Saavedra
Title
Assistant
Phone
(203) 297-6869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 2007701 NY Primary

Addresses

Primary practice location

240 W 98TH St Apt 1C
New York, NY 10025-5501

Mailing address

225 E 64TH St
Suite 11
New York, NY 10065-6690
Phone (212) 758-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000538 NY Part B Supplier - Clinic/Group Practice 5496647141 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Hindola Konrad MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

315 Central Park W
Apt 1B
New York, NY 10025
Phone (212) 744-4915

225 E 64th St
Ste 11
New York, NY 10065
Phone (212) 758-0388

Practitioners & affiliated clinicians

Practitioners 3

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": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1124292982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 64TH ST",
            "address_2": "SUITE 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656690",
            "telephone_number": "212-758-0388",
            "fax_number": "203-790-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 98TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255501",
            "telephone_number": "212-758-0388",
            "fax_number": "646-864-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINDOLA KONRAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ARACELI",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "203-297-6869"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "2007701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.