Individual provider Active NPI

Thierry John Hufnagel, MD

  • Ophthalmology Physician
  • Garden City, NY
National Provider Identifier
1245220490
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1933291 Issued in NY
Practice address
450 Endo Blvd
Garden City, NY 11530-6723
Phone
(516) 832-8000
Fax
(516) 832-8379
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1933291 NY Primary

Addresses

Primary practice location

450 Endo Blvd
Garden City, NY 11530-6723

Mailing address

148 Brite Ave
Scarsdale, NY 10583-1427
Phone (914) 725-3536

Other identifiers 1

IdentifierTypeStateIssuer
01444715MedicaidNY

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
I20101208000131 NY Practitioner - Ophthalmology 1052417458 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1933291NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Dec 1, 2021 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Dec 1, 2021 Accepting new patients

Locations

100 Hospital Rd
Ste 216
East Patchogue, NY 11772
Phone (631) 475-5511

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000

200 Motor Pkwy
Ste D25
Hauppauge, NY 11788
Phone (631) 952-8000

200 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 234-5666

200 Motor Pkwy
Ste D-25
Hauppauge, NY 11788
Phone (516) 952-8000

185 Madison Ave
Fl 2
New York, NY 10016
Phone (212) 213-3737

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1245220490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 BRITE AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831427",
            "telephone_number": "914-725-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ENDO BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306723",
            "telephone_number": "516-832-8000",
            "fax_number": "516-832-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFNAGEL",
        "first_name": "THIERRY",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1933291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01444715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.