Organization Active NPI

Nymhc FPP Ophthalmology

  • Optometrist
  • New York, NY
National Provider Identifier
1184658205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NYMHC FPP OPHTHALMOLOGY
Practice address
1901 1St Ave Suite 5 South 2
Metropolitan Hospital FPP
New York, NY 10029-7404
Phone
(212) 423-7095
Fax
(212) 423-8478
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda Palazzotto
Title
Deputy Director
Phone
(212) 423-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1901 1St Ave Suite 5 South 2
Metropolitan Hospital FPP
New York, NY 10029-7404

Mailing address

1901 1St Ave Suite 5 South 2
Metropolitan Hospital FPP
New York, NY 10029-7404
Phone (212) 423-7095

Other identifiers 1

IdentifierTypeStateIssuer
01002666MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184658205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE SUITE 5 SOUTH 2",
            "address_2": "METROPOLITAN HOSPITAL FPP",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-7095",
            "fax_number": "212-423-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE SUITE 5 SOUTH 2",
            "address_2": "METROPOLITAN HOSPITAL FPP",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-7095",
            "fax_number": "212-423-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYMHC FPP OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALAZZOTTO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "212-423-7095"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01002666",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.