Individual provider Active NPI

Donald Jackson. Coleman, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1235226333
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
091408 Issued in NY
Practice address
635 W 165TH St
Harkness Eye Institute
New York, NY 10032-3724
Phone
(212) 305-6709
Fax
(212) 305-5523
NPI assigned
Oct 9, 2006
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 091408 NY Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 091408 NY

Addresses

Primary practice location

635 W 165TH St
Harkness Eye Institute
New York, NY 10032-3724

Mailing address

635 W 165TH St
New York, NY 10032-3724
Phone (212) 305-3015

Other identifiers 1

IdentifierTypeStateIssuer
00627725MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000053 NY Practitioner - Ophthalmology 4082809553 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Ophthalmology Current Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 29, 1982 Accepting new patients
Weill Medical College of Cornell Ophthalmology CurrentSince Nov 29, 1982 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Apr 1, 2018 Accepting new patients
Weill Medical College of Cornell Ophthalmology CurrentSince Jul 1, 2010 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 15, 2012 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology CurrentSince Jul 15, 2012 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology Past Accepting new patients

Locations

1305 York Ave
Ste 11
New York, NY 10021
Phone (646) 962-2020

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
Ste 856
New York, NY 10065
Phone (212) 620-3916

575 Lexington Ave
Rm 540
New York, NY 10022
Phone (646) 962-2543

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

635 W 165th St
New York, NY 10032
Phone (212) 305-3039

635 W 165th St
Rm 308
New York, NY 10032

Interoperability endpoints

  • Direct secure messaging: djcole@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1235226333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323724",
            "telephone_number": "212-305-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST",
            "address_2": "HARKNESS EYE INSTITUTE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323724",
            "telephone_number": "212-305-6709",
            "fax_number": "212-305-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "DONALD",
        "middle_name": "JACKSON.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "091408",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "091408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00627725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.