Organization Active NPI

North Bronx Retinal and Ophthalmic Surgery PC

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1154593564
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
212003-1 Issued in NY
Legal business name
NORTH BRONX RETINAL AND OPHTHALMIC SURGERY PC
Practice address
3725 Henry Hudson Pkwy
Suite 1-D
Bronx, NY 10463-1527
Phone
(347) 535-4932
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Daniel ChechikNPI 1700967130
Title
MD
Phone
(347) 535-4932

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 212003-1 NY Primary

Addresses

Primary practice location

3725 Henry Hudson Pkwy
Suite 1-D
Bronx, NY 10463-1527

Mailing address

3725 Henry Hudson Pkwy
Suite 1-D
Bronx, NY 10463-1527
Phone (347) 535-4932

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080417000509 NY Part B Supplier - Clinic/Group Practice 4486732310 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

492 Cedar Ln
#C
Teaneck, NJ 07666

Practitioners & affiliated clinicians

Practitioners 2

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1154593564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 HENRY HUDSON PKWY",
            "address_2": "SUITE 1-D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631527",
            "telephone_number": "347-535-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 HENRY HUDSON PKWY",
            "address_2": "SUITE 1-D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631527",
            "telephone_number": "347-535-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BRONX RETINAL AND OPHTHALMIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "CHECHIK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-535-4932",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "212003-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.