Individual provider Active NPI

Howard J Kushnick, MD

  • Ophthalmology Physician
  • Allentown, PA
National Provider Identifier
1326093006
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD067502L Issued in PA
Practice address
400 N 17TH St
Ste 101
Allentown, PA 18104
Phone
(610) 433-0450
Fax
(610) 433-4655
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD067502L PA Primary

Addresses

Primary practice location

400 N 17TH St
Ste 101
Allentown, PA 18104

Mailing address

825 E Gate Blvd Ste 111
Garden City, NY 11530-2136
Phone (516) 804-5200

Other identifiers 1

IdentifierTypeStateIssuer
01730002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000270 PA Practitioner - Ophthalmology 5395768477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Eye Center, P.C.Group PAC ID 3072593508, 51 clinicians

Practice addresses (Care Compare)

400 N 17TH St
Suite 101
Allentown, PA 18104-5052
Phone (610) 433-0450

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
86.54
Promoting interoperability
94
Improvement activities
40
Cost
60.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD067502LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Eye Center, P.C. CurrentSince Jan 7, 1999 Accepting new patients

Locations

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

1616 W Allen St
Allentown, PA 18102
Phone (610) 432-0201

400 N 17th St
Ste 101106
Allentown, PA 18104

400 N 17th St
Ste 101
Allentown, PA 18104
Phone (215) 433-0450

400 N 17th St
Allentown, PA 18104
Phone (610) 402-9099

3535 High Point Blvd
Ste 800
Bethlehem, PA 18017
Phone (610) 867-9900

Interoperability endpoints

  • Direct secure messaging: howard.kushnickmd.p10@direct.ocli.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1326093006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-804-5200",
            "fax_number": "631-309-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 17TH ST",
            "address_2": "STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-433-0450",
            "fax_number": "610-433-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNICK",
        "first_name": "HOWARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD067502L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01730002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.