Organization Active NPI

North Island Ophthalmology PC

  • Ophthalmology Physician
  • Syosset, NY
National Provider Identifier
1316214729
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
153123 Issued in NY
Legal business name
NORTH ISLAND OPHTHALMOLOGY PC
Practice address
4 Burke LN
Syosset, NY 11791-3931
Phone
(516) 921-1155
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Dr. Robert I. Appel, M.D.NPI 1730140518
Title
Owner
Phone
(516) 921-1155

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 153123 NY Primary

Addresses

Primary practice location

4 Burke LN
Syosset, NY 11791-3931

Mailing address

4 Burke LN
Syosset, NY 11791-3931
Phone (516) 921-1155

Other names 1

  • North Island Ophthalmology Associates PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000649 NY Part B Supplier - Clinic/Group Practice 2961661467 Receives reassigned benefits from 1 practitioner
Practice locations: Syosset, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1316214729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURKE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913931",
            "telephone_number": "516-921-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURKE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913931",
            "telephone_number": "516-921-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ISLAND OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "APPEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-921-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "153123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Island Ophthalmology Associates PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.