Eye Surgery & Aesthetics PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

229403 Issued in NY

Legal business name

EYE SURGERY & AESTHETICS PC

Practice address

35 Coverly Ave
Staten Island, NY 10301-4549

Phone

(718) 448-0588

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie Borodoker, M.D.NPI 1750396313

Title

President

Phone

(718) 517-2555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalie Borodoker, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1750396313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1396912895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COVERLY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014549",
            "telephone_number": "718-448-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COVERLY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014549",
            "telephone_number": "718-448-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY & AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "BORODOKER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-517-2555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "229403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Explorer Optical Inc
• Herute-Amlak Extavour, LPN
• Raffaella Eydelman, RN
• Eye Care Vision Optometry P.C.
• Eye Physicians and Surgeons of Ny, PLLC
• Eyeconic Vision Si LLC
• Eyeconic Vision World Inc
• Eyeglasses Unlimited Incorporated
• Eyeland Vision Optique
• Eyes & Optics Bay St LLC

• Ophthalmology Physician in Staten Island, NY
• Providers in Staten Island, 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 Aug 20, 2010; 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.