Individual provider Active NPI

Benjamin Fateh Mason, MD

  • Ophthalmology Physician
  • Woodside, NY
National Provider Identifier
1356390488
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
224032 Issued in NY
Practice address
41-41 51St Street
Woodside, NY 11377
Phone
(718) 505-0100
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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 224032 NY Primary

Addresses

Primary practice location

41-41 51St Street
Woodside, NY 11377

Mailing address

41-41 51St Street
Woodside, NY 11377
Phone (718) 505-0100

Other identifiers 1

IdentifierTypeStateIssuer
02802091MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060623000215 NY Practitioner - OphthalmologyPractitioner - General Surgery 0042237299 Reassigns benefits to 1 organization
Practice locations: New York, NY; Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4141 51St St
Woodside, NY 11377-4431
Phone (718) 505-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New York Ophthalmology Care, PLLC CurrentSince Aug 1, 2007 Accepting new patients
Mason Esc, LLC PastSince Jun 2, 2015 Accepting new patients
Brooklyn Medical Eye Associate, LLC Ophthalmology Past Accepting new patients
Nes Ohio Inc Past Accepting new patients
McLaren Caro Region Past Accepting new patients
Nes Michigan, Inc. Past Accepting new patients

Locations

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: bmason2198154@nychhc.direct-ci.com

Organizations & group practices 6

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1356390488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-41 51ST STREET",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-505-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-41 51ST STREET",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-505-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "BENJAMIN",
        "middle_name": "FATEH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "224032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02802091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.