Active NPI
Jonathan A Nickel, M.D.
- Ophthalmology Physician
- Gloversville, NY
National Provider Identifier
1225007826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 221925
- Practice address
- 185 Second Ave
Gloversville, NY 12078-2510 - Phone
- (518) 773-2700
- Fax
- (518) 725-0527
- NPI assigned
- Mar 16, 2006
- Last updated
- Oct 24, 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 | 221925 | NY | Primary |
Addresses
Primary practice location
185 Second Ave
Gloversville, NY 12078-2510
Mailing address
185 Second Ave
Gloversville, NY 12078-2510
Phone (518) 773-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02389980 | Medicaid | NY | |
| P00098601 | Other | NY | MEDICARE RAILROAD |
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 |
|---|---|---|---|---|
| I20040220000635 | NY | Practitioner - Ophthalmology | 5991690695 | Practice locations: Gloversville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- New York Medical College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
185 2ND Ave
Gloversville, NY 12078-2510
Phone (518) 773-2700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.59 of 100
- Quality
- 94
- Improvement activities
- 40
- Cost
- 70.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 747 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gloversville, NY
- NPI 1538296207
-
dba Nathan Littauer Hospital & Nursing Home
- Rural Acute Care Hospital
- Gloversville, NY
- NPI 1336145168
-
dba Nathan Littauer Primary/Specialty Care Centers
- Clinic/Center
- Gloversville, NY
- NPI 1770671448
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1225007826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SECOND AVE",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120782510",
"telephone_number": "518-773-2700",
"fax_number": "518-725-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SECOND AVE",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120782510",
"telephone_number": "518-773-2700",
"fax_number": "518-725-0527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKEL",
"first_name": "JONATHAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "221925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02389980",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00098601",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
- Nathan Littauer Hospital Association
- Nathan Littauer Hospital Association (Nathan Littauer Hospital & Nursing Home)
- Nathan Littauer Hospital Association (Nathan Littauer Primary/Specialty Care Centers)
- Charles Naula-Calle
- Patricia My-Lan Nguyen, MD
- Brittnie Nicosia
- Marcus Allen Norton
- Eseka Nyamaa
- Nysarc Inc Fulton County Chapter (Lexington Center)
- Kelsey O'Brien
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.