Organization Active NPI

Gotham Eye Medical, P.C.

Doing business as New York Ophthalmology

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1346663051
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
242732 Issued in NY
Legal business name
GOTHAM EYE MEDICAL, P.C.
Doing business as
New York Ophthalmology
Practice address
329 E 149TH St FL 2
Bronx, NY 10451-5626
Phone
(718) 585-5500
Fax
(718) 585-5502
NPI assigned
Jan 31, 2014
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Ken MoadelNPI 1407972326
Title
Owner
Phone
(212) 490-3937

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 242732 NY Primary

Addresses

Primary practice location

329 E 149TH St FL 2
Bronx, NY 10451-5626

Mailing address

329 E 149TH St FL 2
Bronx, NY 10451-5626
Phone (914) 557-8995

Other practice location 1

7409 37th Ave Ste 303
Jackson Heights, NY 11372-6303
Phone (718) 205-5050

Other practice location 2

14732 Jamaica Ave Lowr Level
Jamaica, NY 11435-4042
Phone (718) 206-2002

Other practice location 3

774 Broadway
Brooklyn, NY 11206-8134
Phone (800) 212-3937

Other practice location 4

3556 Broadway Fl 2
New York, NY 10031-3202
Phone (914) 557-8995

Other names 1

  • New York Ophthalmology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140415000582 NY Part B Supplier - Clinic/Group Practice 5496987026 Receives reassigned benefits from 18 practitioners
Practice locations: Jamaica, NY; New York, NY; Jackson Heights, NY; Brooklyn, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

774 Broadway
Ste 2
Brooklyn, NY 11206
Phone (866) 599-8774

3636 Main St
Ste 1S
Flushing, NY 11354
Phone (347) 592-1120

7409 37th Ave
Ste 303
Jackson Hts, NY 11372
Phone (866) 599-8774

14732 Jamaica Ave
Lowr
Jamaica, NY 11435
Phone (718) 206-2002

14732 Jamaica Ave
Lowr Lvl
Jamaica, NY 11435

3556 Broadway
#2
New York, NY 10031

3556 Broadway
Fl 2
New York, NY 10031
Phone (866) 599-8774

3557 Broadway
Fl 2
New York, NY 10031

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1346663051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E 149TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515626",
            "telephone_number": "914-557-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 149TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515626",
            "telephone_number": "718-585-5500",
            "fax_number": "718-585-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7409 37th Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113726303",
            "country_code": "US",
            "telephone_number": "718-205-5050",
            "fax_number": "718-205-5066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14732 Jamaica Ave Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114354042",
            "country_code": "US",
            "telephone_number": "718-206-2002",
            "fax_number": "718-206-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "774 Broadway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112068134",
            "country_code": "US",
            "telephone_number": "800-212-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3556 Broadway Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100313202",
            "country_code": "US",
            "telephone_number": "914-557-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOTHAM EYE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "MOADEL",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-490-3937"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "242732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.