NPIMap

Organization Active NPI

Long Island Pediatric Ophthalmology & Strabismus, P.C.

  • Ophthalmology Physician
  • Port Jefferson, NY
National Provider Identifier
1467589861
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LONG ISLAND PEDIATRIC OPHTHALMOLOGY & STRABISMUS, P.C.
Practice address
60 N Country Rd
301
Port Jefferson, NY 11777-2188
Phone
(631) 474-4200
Fax
(631) 474-4202
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maury Alan Marmor, M.D.NPI 1417064569
Title
President
Phone
(631) 474-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

60 N Country Rd
301
Port Jefferson, NY 11777-2188

Mailing address

60 N Country Rd
301
Port Jefferson, NY 11777-2188
Phone (631) 474-4200

National Provider Directory

National Provider Directory

Locations

146 Manetto Hill Rd
Ste 170
Plainview, NY 11803
Phone (516) 942-4400

60 N Country Rd
Ste 301
Prt Jefferson, NY 11777
Phone (631) 474-4200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467589861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "301",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-474-4200",
            "fax_number": "631-474-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N COUNTRY RD",
            "address_2": "301",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772188",
            "telephone_number": "631-474-4200",
            "fax_number": "631-474-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PEDIATRIC OPHTHALMOLOGY & STRABISMUS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARMOR",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-474-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.