Neelam Patel Magan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009658 Issued in NY

Practice address

2261 Broadway
New York, NY 10024-5402

Phone

(212) 873-4114

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nyc Vision Capital Inc

  • Optometrist
  • New York, NY
  • NPI 1871164194
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1467175281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 KENNICOTT AVE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138450",
            "telephone_number": "919-609-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245402",
            "telephone_number": "212-873-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAN",
        "first_name": "NEELAM",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpatel@neelamod.com",
            "affiliation": "N",
            "address_1": "2261 Broadway",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100245402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole M Magaldi, MS, CCC-SLP
• Jarron Magallanes, BCD, LCSW, ACSW
• Maria Magallanes
• Timothy John Magalona, CRNA, DNP
• Ralph Ryan Magalong-Davis
• Angelica Magana
• Cynthia I Magana
• Paloma Magana
• Alejandra Magananunez, LMSW
• Fatoumata Magassa, LMSW

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.