Active NPI
Iwant2020 Com Inc
Doing business as Park Avenue LASEK
- Ophthalmology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 206774
- Legal business name
- IWANT2020 COM INC
- Doing business as
- Park Avenue LASEK
- Practice address
- 102 E 25TH St
Ground Floor
New York, NY 10010-2906 - Phone
- (212) 741-8628
- Fax
- (212) 741-2390
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emil W Chynn, M.D.
- Title
- Provider
- Phone
- (212) 741-8626
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 206774 | NY | Primary |
Addresses
Primary practice location
102 E 25TH St
Ground Floor
New York, NY 10010-2906
Mailing address
333 Park Ave S
1St. Floor
New York, NY 10010-2906
Phone (212) 741-8628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01788921 | Medicaid | NY |
Other names 1
- Park Avenue LASEK
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 E 25th St
New York, NY 10010
Phone (212) 741-8628
333 Park Ave S
Frnt 1
New York, NY 10010
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1346272911
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- New York, NY
- NPI 1710321740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1235281205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 PARK AVE S",
"address_2": "1ST. FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102906",
"telephone_number": "212-741-8628",
"fax_number": "212-741-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E 25TH ST",
"address_2": "GROUND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102906",
"telephone_number": "212-741-8628",
"fax_number": "212-741-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IWANT2020 COM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CHYNN",
"authorized_official_first_name": "EMIL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "212-741-8626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "206774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01788921",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Avenue LASEK",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Park Avenue LASEK",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 21, 2022; 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.