Organization Active NPI

Macula Eye Care Ophthalmology PLLC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1447677471
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
224954 Issued in NY
Legal business name
MACULA EYE CARE OPHTHALMOLOGY PLLC
Practice address
67 E 78TH St
1 C
New York, NY 10075-0273
Phone
(212) 744-2513
Fax
(212) 744-4816
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Nicole Eva Gross, M.D.
Title
Founder/Physician
Phone
(610) 636-1879

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 072039L PA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 224954 NY Primary

Addresses

Primary practice location

67 E 78TH St
1 C
New York, NY 10075-0273

Mailing address

157 W 79TH St
7 A
New York, NY 10024-6413
Phone (212) 877-9109

Other identifiers 1

IdentifierTypeStateIssuer
1295729762OtherNYNPI

National Provider Directory

National Provider Directory

Locations

958 County Line Rd
Ste 106
Bryn Mawr, PA 19010
Phone (610) 525-2273

Practitioners & affiliated clinicians

Practitioners 4

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": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1447677471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 W 79TH ST",
            "address_2": "7 A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246413",
            "telephone_number": "212-877-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E 78TH ST",
            "address_2": "1 C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750273",
            "telephone_number": "212-744-2513",
            "fax_number": "212-744-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACULA EYE CARE OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "EVA",
        "authorized_official_title_or_position": "FOUNDER/PHYSICIAN",
        "authorized_official_telephone_number": "610-636-1879",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "072039L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "224954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295729762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.