Itzhak Medan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

231274-1 Issued in NY

Practice address

151 Carol LN
Richboro, PA 18954-1307

Phone

(443) 676-2585

NPI assigned

Dec 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Ophthalmology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment NPD
• Eyes & Optics Lincoln LLC

  • Eyewear Supplier
  • Bronx, NY
  • NPI 1649418344
  Medicare reassignment NPD
• Optical Lab

  • Optometrist
  • Brooklyn, NY
  • NPI 1700342987
  NPD (past)
• Shades of Nostrand Inc.

  • Optician
  • Brooklyn, NY
  • NPI 1629192331
  NPD (past)

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1346485745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162015",
            "telephone_number": "718-622-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CAROL LN",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541307",
            "telephone_number": "443-676-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDAN",
        "first_name": "ITZHAK",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-13",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "231274-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J Martin, DPT
• Nicole Kathleen Martin, LPC
• Emily Martorelli, MSAT, LAT, CAT
• Manju Mathew, O.D.
• Kathleen M McKeever, MSN-FNP
• Medica Center of Richboro, P.C.
• Medishuttle Transportation LLC
• Robert H Menapace, PHD
• Anthony J Menard, PHARMD
• Brittany Joelle Miller

• General Practice Physician in Richboro, PA
• Providers in Richboro, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.