Organization Active NPI

Karen Allison, M.D., P.C.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1184810889
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
195772 Issued in NY
Legal business name
KAREN ALLISON, M.D., P.C.
Practice address
30 W 60TH St
Suite 1Y
New York, NY 10023-7902
Phone
(212) 459-0001
Fax
(718) 777-1572
NPI assigned
Sep 18, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Karen Melanie Allison, M.D.NPI 1588687750
Title
President/Physician
Phone
(212) 459-0001

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 Physician 207W00000X 195772 NY Primary

Addresses

Primary practice location

30 W 60TH St
Suite 1Y
New York, NY 10023-7902

Mailing address

PO Box 435
Hewlett, NY 11557-0435
Phone (212) 459-0001

Other identifiers 4

IdentifierTypeStateIssuer
02068862MedicaidNY
04478BOtherNYGHIMEDICARE
OC5411OtherNYEMPIRE MEDICARE
04478AOtherNYGHI MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000106 NY Part B Supplier - Clinic/Group Practice 5193818557 Receives reassigned benefits from 6 practitioners
Practice locations: Astoria, NY; Floral Park, NY; New York, NY; Saint Albans, NY

National Provider Directory

National Provider Directory

Locations

2531 30th Rd
Ste 1D
Astoria, NY 11102
Phone (718) 777-1531

24836 Jericho Tpke
Floral Park, NY 11001
Phone (516) 352-7111

162 W 56th St
Ste 206
New York, NY 10019
Phone (212) 459-0001

20516 Linden Blvd
Saint Albans, NY 11412
Phone (718) 525-2200

Practitioners & affiliated clinicians

Practitioners 7

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1184810889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115570435",
            "telephone_number": "212-459-0001",
            "fax_number": "718-777-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 60TH ST",
            "address_2": "SUITE 1Y",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237902",
            "telephone_number": "212-459-0001",
            "fax_number": "718-777-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN ALLISON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "212-459-0001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "195772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02068862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHIMEDICARE",
            "identifier": "04478B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE MEDICARE",
            "identifier": "OC5411",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "04478A",
            "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 Sep 18, 2007; 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.