Organization Active NPI

Ophthalmology Partners of Rockland, P.C.

  • Ophthalmology Physician
  • New City, NY
National Provider Identifier
1184807810
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY PARTNERS OF ROCKLAND, P.C.
Practice address
365 S Main St
New City, NY 10956-3061
Phone
(845) 634-2900
Fax
(845) 634-3066
NPI assigned
Dec 17, 2007
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Soo Mee Pak, M D
Title
Owner
Phone
(845) 634-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

365 S Main St
New City, NY 10956-3061

Mailing address

365 S Main St
New City, NY 10956-3061
Phone (845) 634-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20051202000091 NY Part B Supplier - Clinic/Group Practice 3577583731 Receives reassigned benefits from 2 practitioners
Practice locations: New City, NY
O20090831000288 NJ Part B Supplier - Clinic/Group Practice 3577583731 Receives reassigned benefits from 2 practitioners
Practice locations: Ramsey, NJ
O20230323000106 NY DME Supplier - Physician - General Practice 3577583731 Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

112 Maple Ave
New City, NY 10956
Phone (845) 634-2900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1184807810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563061",
            "telephone_number": "845-634-2900",
            "fax_number": "845-634-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563061",
            "telephone_number": "845-634-2900",
            "fax_number": "845-634-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY PARTNERS OF ROCKLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "SOO",
        "authorized_official_middle_name": "MEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-634-2900",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.