Organization Active NPI

Jeffrey D. Nightingale, MD PC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1407089956
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
118287 Issued in NY
Legal business name
JEFFREY D. NIGHTINGALE, MD PC
Practice address
1776 Broadway Ste 1410
New York, NY 10019-2007
Phone
(212) 877-7188
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Andrew Bradley Nightingale, MDNPI 1790063121
Title
Manager
Phone
(212) 877-7188

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 118287 NY Primary

Addresses

Primary practice location

1776 Broadway Ste 1410
New York, NY 10019-2007

Mailing address

1776 Broadway Ste 1410
New York, NY 10019-2007
Phone (212) 877-7188

Other practice location 1

211 Central Park W
Suite 1E
New York, NY 10024-6020
Phone (212) 877-7188

Other identifiers 1

IdentifierTypeStateIssuer
00220728MedicaidNY

Other names 1

  • Nightingale Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110222000057 NY Part B Supplier - Clinic/Group Practice 5092606814 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1776 Broadway
Ste 1410
New York, NY 10019
Phone (212) 877-7188

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1407089956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY STE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192007",
            "telephone_number": "212-877-7188",
            "fax_number": "212-877-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY STE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192007",
            "telephone_number": "212-877-7188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Central Park W",
            "address_2": "Suite 1E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100246020",
            "country_code": "US",
            "telephone_number": "212-877-7188",
            "fax_number": "212-877-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY D. NIGHTINGALE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "NIGHTINGALE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-877-7188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "118287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220728",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.