Jack M. Dodick MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

105324 Issued in NY

Legal business name

JACK M. DODICK MD PC

Practice address

535 Park Ave
New York, NY 10065-8198

Phone

(212) 288-7638

NPI assigned

Jul 8, 2008

Last updated

Jul 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack M Dodick, M.D.NPI 1023170636

Title

President

Phone

(212) 288-7638

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Jack Dodick, M.D.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1023170636
  Authorized official Same address or phone
• Julia Hsu, M.D.

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1134210941
  NPD (past)
• Iman Ali, M.D.

  • Ophthalmology Physician
  • Fall River, MA
  • NPI 1962489773
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1295998474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658198",
            "telephone_number": "212-288-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658198",
            "telephone_number": "212-288-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M. DODICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "DODICK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-288-7638",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "105324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Emily Jachno, CRNA
• Friederike Jacinto
• Jeffrey Jacinto
• Jack D. Weinstock, PT, PLLC (Empire State Hands-On Physical Therapy)
• Jack Dubin
• Jack Marcheschi Physical Therapy, P.C. (Plus One Physical Therapy)
• Anyanate Gwendolyne Jack, M.D., MPH
• David Bruce Jack Jr., PA
• Michelle Jack, PT
• Stella N Jack

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.