Active NPI
John D Mastrobattista, MD
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1144387630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 178843
- Practice address
- 169 E 62ND St
New York, NY 10065-7605 - Phone
- (212) 688-9365
- Fax
- (612) 688-9372
- NPI assigned
- Jan 3, 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 | 178843 | NY | Primary |
Addresses
Primary practice location
169 E 62ND St
New York, NY 10065-7605
Mailing address
169 E 62ND St
New York, NY 10065-7605
Phone (212) 688-9365
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160940 | Other | ELDERPLAN | |
| 0400339 | Other | GHS | |
| 010178843NY00 | Other | ANTHEM HEALTH | |
| 80314 | Other | UNICARE | |
| 462099 | Other | AETNA US HEALTHCARE | |
| 09732P | Other | HIP | |
| 178843A26 | Other | HEALTHFIRST | |
| 01500861 | Medicaid | NY | |
| P471036 | Other | OXFORD | |
| M58843 | Other | ATLANTIS | |
| 1058199 | Other | UNITED HEALTHCARE | |
| 57K011 | Other | EMPIRE BLUE CROSS BLUE SH |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111219000448 | NY | Practitioner - Ophthalmology | 8325213457 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
169 E 62ND St
New York, NY 10065-7605
Phone (212) 688-9365
Hospital & facility affiliations
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 156 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178843 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Past | Accepting new patients | |
| Cheryl S Kaufmann MDPC | Ophthalmology | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mastrobattista@drmastrobattista.direct.eyemdemr.com
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
- Flushing, NY
- NPI 1942481239
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359158400000",
"number": "1144387630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657605",
"telephone_number": "212-688-9365",
"fax_number": "612-688-9372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657605",
"telephone_number": "212-688-9365",
"fax_number": "612-688-9372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTROBATTISTA",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2013-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "178843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "160940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHS",
"identifier": "0400339",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH",
"identifier": "010178843NY00",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "80314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "462099",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "09732P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "178843A26",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01500861",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P471036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS",
"identifier": "M58843",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1058199",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "57K011",
"state": null
}
],
"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 Jan 26, 2013; 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.