Individual provider Active NPI

Mitchell Horowitz, OD

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1437155728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005223-1 Issued in NY
Practice address
50 Cooper Ave
Staten Island, NY 10305-1344
Phone
(718) 979-2020
Fax
(718) 979-2141
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005223-1 NY Primary

Addresses

Primary practice location

50 Cooper Ave
Staten Island, NY 10305-1344

Mailing address

50 Cooper Ave
Staten Island, NY 10305-1344
Phone (718) 979-2020

Other identifiers 1

IdentifierTypeStateIssuer
01280395MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000069 NY Practitioner - Optometry 7911063482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horowitz Pirozzolo Ods Et Al LLPGroup PAC ID 8921164492, 4 clinicians

Practice addresses (Care Compare)

50 Cooper Ave
Staten Island, NY 10305-1344
Phone (718) 979-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005223-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 12, 2010 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 12, 2010 Accepting new patients
Horowitz, Pirozzolo, OD's Et. Al., LLP Optometrist CurrentSince Apr 1, 2003 Accepting new patients
Omni Eye Specialists P a PastSince Jan 1, 2008 Accepting new patients

Locations

50 Water St
Fl 3
New York, NY 10004

460 Brielle Ave
Staten Island, NY 10314
Phone (646) 694-6680

50 Cooper Ave
Staten Island, NY 10305
Phone (718) 979-2020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437155728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COOPER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051344",
            "telephone_number": "718-979-2020",
            "fax_number": "718-979-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COOPER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051344",
            "telephone_number": "718-979-2020",
            "fax_number": "718-979-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005223-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01280395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.