Organization Active NPI

Glaucoma Medical Consultants of New York, PLLC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1467656355
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA MEDICAL CONSULTANTS OF NEW YORK, PLLC
Practice address
2148 Ocean Ave Ste 603
Brooklyn, NY 11229-1485
Phone
(718) 339-5100
Fax
(718) 339-2648
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Authorized official

Name
Miss Julia Frid
Title
Medical Biller
Phone
(718) 718-7478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2148 Ocean Ave Ste 603
Brooklyn, NY 11229-1485

Mailing address

2148 Ocean Ave Ste 603
Brooklyn, NY 11229-1485
Phone (718) 339-5100

Other practice location 1

2785 Ocean Pkwy
Brooklyn, NY 11235-7871
Phone (718) 339-5100

Other practice location 2

2118 Coney Island Ave
suite 2
Brooklyn, NY 11223-2347
Phone (718) 339-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001513 NY Part B Supplier - Clinic/Group Practice 4082506043 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2148 Ocean Ave
Ste 603
Brooklyn, NY 11229
Phone (718) 646-2025

2118 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 339-0050

2903 Union St
Flushing, NY 11354
Phone (718) 463-3412

Practitioners & affiliated clinicians

Practitioners 1

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1467656355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 OCEAN AVE STE 603",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291485",
            "telephone_number": "718-339-5100",
            "fax_number": "718-339-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 OCEAN AVE STE 603",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291485",
            "telephone_number": "718-339-5100",
            "fax_number": "718-339-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2785 Ocean Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112357871",
            "country_code": "US",
            "telephone_number": "718-339-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2118 Coney Island Ave",
            "address_2": "suite 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112232347",
            "country_code": "US",
            "telephone_number": "718-339-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLAUCOMA MEDICAL CONSULTANTS OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "FRID",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "718-718-7478",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.