Individual provider Active NPI

Jonathan Todd Wesson, M.D.

  • Ophthalmology Physician
  • Glen Cove, NY
National Provider Identifier
1467416131
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
208199 Issued in NY
Practice address
8 Medical PLZ
Glen Cove, NY 11542-2102
Phone
(516) 676-4596
Fax
(516) 674-0502
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 208199 NY Primary

Addresses

Primary practice location

8 Medical PLZ
Glen Cove, NY 11542-2102

Mailing address

33 W Gate Blvd
Manhasset, NY 11030-1452
Phone (516) 570-0655

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070108000401 NY Practitioner - Ophthalmology 2062412927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates of Glen Cove, PCGroup PAC ID 1153321005, 2 clinicians

Practice addresses (Care Compare)

8 Medical PLZ
Suite 201
Glen Cove, NY 11542-2102
Phone (516) 676-4596

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of Glen Cove, PC Ophthalmology CurrentSince Nov 1, 2006 Accepting new patients

Locations

8 Medical Plz
Glen Cove, NY 11542
Phone (516) 759-5541

8 Medical Plz
Ste 201
Glen Cove, NY 11542
Phone (516) 676-4596

Interoperability endpoints

  • Direct secure messaging: jonathanwesson@glencoveeyedoctors.direct.eyemdemr.com

Organizations & group practices 1

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1467416131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W GATE BLVD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301452",
            "telephone_number": "516-570-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PLZ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422102",
            "telephone_number": "516-676-4596",
            "fax_number": "516-674-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSON",
        "first_name": "JONATHAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "208199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.