Active NPI
Natalia Potapova Ophthalmology PLLC
- Ophthalmology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 255889
- Legal business name
- NATALIA POTAPOVA OPHTHALMOLOGY PLLC
- Practice address
- 25 5TH Ave
Suite 1a
New York, NY 10003-4307 - Phone
- (917) 215-3687
- Fax
- (917) 591-0604
- NPI assigned
- Apr 4, 2013
- 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
- Natalia Potapova, M.D.
- Title
- Owner
- Phone
- (917) 215-3687
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 | 255889 | NY | Primary |
Addresses
Primary practice location
25 5TH Ave
Suite 1a
New York, NY 10003-4307
Mailing address
25 5TH Ave
Suite 1a
New York, NY 10003-4307
Phone (917) 215-3687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Natalia Potapova Ophthalmology PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Rego Park, NY
- NPI 1265788921
Locations
25 5th Ave
Apt 1A
New York, NY 10003
Phone (212) 353-2500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- New York, NY
- NPI 1518169630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365033600000",
"number": "1275876500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 5TH AVE",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034307",
"telephone_number": "917-215-3687",
"fax_number": "917-591-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 5TH AVE",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034307",
"telephone_number": "917-215-3687",
"fax_number": "917-591-0604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATALIA POTAPOVA OPHTHALMOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A",
"authorized_official_last_name": "POTAPOVA",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-215-3687",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "255889",
"primary": true
}
],
"identifiers": [],
"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 Apr 4, 2013; 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.