Active NPI
Martin Ogoff
- Pharmacist
- New York, NY
National Provider Identifier
1265615710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 031877-1
- Practice address
- 1111 3Rd Ave
New York, NY 10065-6702 - Phone
- (212) 838-0195
- NPI assigned
- Dec 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 031877-1 | NY | Primary |
Addresses
Primary practice location
1111 3Rd Ave
New York, NY 10065-6702
Mailing address
16807 Powells Cove Blvd
Beechhurst, NY 11357-1543
Phone (718) 747-5953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183500000X | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031877-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- New York, NY
- NPI 1033409321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1265615710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16807 POWELLS COVE BLVD",
"city": "BEECHHURST",
"state": "NY",
"postal_code": "113571543",
"telephone_number": "718-747-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656702",
"telephone_number": "212-838-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGOFF",
"first_name": "MARTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-06",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "031877-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183500000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.