Associated Eye Medical PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ASSOCIATED EYE MEDICAL PLLC

Practice address

36 7TH Ave
Suite 422
New York, NY 10011-6609

Phone

(212) 604-9800

Fax

(212) 242-4757

NPI assigned

Jun 21, 2011

Last updated

Jun 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Khadem, MDNPI 1477530012

Title

Owner

Phone

(212) 604-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Jacob Nachum, O.D.

  • Optometrist
  • New York, NY
  • NPI 1124107685
  Medicare reassignment NPD
• John J Khadem, M.D., M.P.H.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1477530012
  NPD (past) Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1366738080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 7TH AVE",
            "address_2": "SUITE 422",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116609",
            "telephone_number": "212-604-9800",
            "fax_number": "212-242-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 7TH AVE",
            "address_2": "SUITE 422",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116609",
            "telephone_number": "212-604-9800",
            "fax_number": "212-242-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED EYE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "KHADEM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-604-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdra Assey, MA
• Alicia Assini, FNP
• Bridget Ashley Assip, PT, DPT, PCS, C/NDT
• Assist Medical Supply
• Associate Ophthalmologists PC
• Associated Retina Specialist, PLLC
• Associates in Dermatology and Cosmetic Surgery-the Millburn Laser Cent
• Associates in Internal Medicine P.C.
• Associates in Vision Rehabilitation, Inc.
• Association for Metroarea Autistic Children, Inc. (Amac)

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.