Active NPI
Jose Rizal B. Fonacier, M.D.
- Ophthalmology Physician
- Hempstead, NY
National Provider Identifier
1467542779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 149520
- Practice address
- 230 Hilton Ave
Suite 107
Hempstead, NY 11550-8115 - Phone
- (516) 742-4442
- Fax
- (516) 505-0768
- NPI assigned
- Oct 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 149520 | NY | Primary |
Addresses
Primary practice location
230 Hilton Ave
Suite 107
Hempstead, NY 11550-8115
Mailing address
42 Elm St
Great Neck, NY 11021-1942
Phone (516) 829-6298
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050321000065 | NY | Practitioner - Ophthalmology | 1759336043 |
Reassigns benefits to 1 organization Practice locations: New Hyde Park, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marc R Imundo MD PC
Practice addresses (Care Compare)
230 Hilton Ave
Suite 107
Hempstead, NY 11550-8116
Phone (516) 742-4442
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149520 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc R Imundo MD PC | Ophthalmology | Current | Accepting new patients |
| Mark Fleckner M.D., P.C. | Ophthalmology | Past | Accepting new patients |
Locations
230 Hilton Ave
Ste 107
Hempstead, NY 11550
Phone (516) 481-6818
Organizations & group practices 2
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": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467542779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 ELM ST",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211942",
"telephone_number": "516-829-6298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HILTON AVE",
"address_2": "SUITE 107",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115508115",
"telephone_number": "516-742-4442",
"fax_number": "516-505-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONACIER",
"first_name": "JOSE RIZAL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "149520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.