NPIMap

Organization Active NPI

Manhasset Eye Physicians, P.C.

  • Specialist
  • Manhasset, NY
National Provider Identifier
1265645212
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
187507 Issued in NY
Legal business name
MANHASSET EYE PHYSICIANS, P.C.
Practice address
1615 Northern Blvd
Suite 202
Manhasset, NY 11030-3033
Phone
(516) 627-0146
Fax
(516) 365-4750
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Dr. Peter Anthony D'Arienzo, M.D.NPI 1992880793
Title
President
Phone
(516) 627-0146

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 187507 NY Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 180111 NY
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 097435 NY

Addresses

Primary practice location

1615 Northern Blvd
Suite 202
Manhasset, NY 11030-3033

Mailing address

1615 Northern Blvd
Suite 202
Manhasset, NY 11030-3033
Phone (516) 627-0146

Other identifiers 3

IdentifierTypeStateIssuer
01592103MedicaidNY
00164172MedicaidNY
01613125MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110808000795 NY Part B Supplier - Clinic/Group Practice 4385813351 Receives reassigned benefits from 6 practitioners
Practice locations: Manhasset, NY

National Provider Directory

National Provider Directory

Locations

1615 Northern Blvd
Ste 403
Manhasset, NY 11030
Phone (516) 627-0145

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1265645212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 NORTHERN BLVD",
            "address_2": "SUITE 202",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303033",
            "telephone_number": "516-627-0146",
            "fax_number": "516-365-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 NORTHERN BLVD",
            "address_2": "SUITE 202",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303033",
            "telephone_number": "516-627-0146",
            "fax_number": "516-365-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHASSET EYE PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "D'ARIENZO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-627-0146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "187507",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "180111",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "097435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592103",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00164172",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01613125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.