David Immanuel, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

231402 Issued in NY

Legal business name

DAVID IMMANUEL, MD, PC

Practice address

230 Hilton Ave
Suite 207
Hempstead, NY 11550-8115

Phone

(516) 565-2095

Fax

(516) 565-2080

NPI assigned

Apr 23, 2007

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Immanuel, M.D., PH.D.NPI 1053352658

Title

Owner

Phone

(516) 565-2095

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• David Immanuel, M.D., PH.D.

  • Ophthalmology Physician
  • Hempstead, NY
  • NPI 1053352658
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1225256365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 207",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-565-2095",
            "fax_number": "516-565-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 207",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-565-2095",
            "fax_number": "516-565-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID IMMANUEL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "IMMANUEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-565-2095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "231402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02552734",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.