Organization Active NPI

Iwant2020 Com Inc

Doing business as Park Avenue LASEK

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1235281205
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
206774 Issued in NY
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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.NPI 1346272911
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01788921MedicaidNY

Other names 1

  • Park Avenue LASEK Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050810000907 NY Part B Supplier - Clinic/Group Practice 5799714630 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.