Organization Active NPI

Nissirios Ophthalmology PC

Doing business as Metroeyemd

  • Ophthalmology Physician
  • Bayside, NY
National Provider Identifier
1346642352
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NISSIRIOS OPHTHALMOLOGY PC
Doing business as
Metroeyemd
Practice address
20020 44TH Ave FL 2
Bayside, NY 11361-2658
Phone
(718) 423-2020
Fax
(718) 504-7379
NPI assigned
Sep 22, 2014
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Dr. Nicholas J Nissirios, M.D.NPI 1205130754
Title
Ophthalmologist
Phone
(201) 893-1386

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 Physician 207W00000X NU Primary

Addresses

Primary practice location

20020 44TH Ave FL 2
Bayside, NY 11361-2658

Mailing address

20020 44TH Ave FL 2
Bayside, NY 11361-2658
Phone (718) 423-2020

Other names 1

  • METROEYEMD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141230000207 NY Part B Supplier - Clinic/Group Practice 2961725858 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY; Bayside, NY; New York, NY; Oakland Gardens, NY

National Provider Directory

National Provider Directory

Locations

2309 31st St
Ste 1
Astoria, NY 11105
Phone (718) 278-2020

20020 44th Ave
Fl 2
Bayside, NY 11361
Phone (718) 278-2020

Interoperability endpoints

  • Direct secure messaging: nnissirios@nopc.intellechartdirect.net

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1346642352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20020 44TH AVE FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612658",
            "telephone_number": "718-423-2020",
            "fax_number": "718-504-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20020 44TH AVE FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612658",
            "telephone_number": "718-423-2020",
            "fax_number": "718-504-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSIRIOS OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "NISSIRIOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "201-893-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METROEYEMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.