Individual provider Active NPI

Miriam A Madry, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1477046522
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008826 Issued in NY
Practice address
147 W 142ND St FL 1
New York, NY 10030-1865
Phone
(212) 439-9600
Fax
(646) 410-0667
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 008826 NY
Optometrist 152W00000X 008826 NY Primary

Addresses

Primary practice location

147 W 142ND St FL 1
New York, NY 10030-1865

Mailing address

147 W 142ND St FL 1
New York, NY 10030-1865
Phone (212) 439-9600

Other practice location 1

52 E 72nd St
New York, NY 10021-4266
Phone (212) 439-9600

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611000537 NY Practitioner - Optometry 9234462029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.78 of 100Reported as group
Quality
77.6
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008826NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Maculacare, PLLC CurrentSince Jul 1, 2019 Accepting new patients

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1477046522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W 142ND ST FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301865",
            "telephone_number": "212-439-9600",
            "fax_number": "646-410-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W 142ND ST FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301865",
            "telephone_number": "212-439-9600",
            "fax_number": "646-410-0667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 E 72nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214266",
            "country_code": "US",
            "telephone_number": "212-439-9600",
            "fax_number": "212-439-0796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRY",
        "first_name": "MIRIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "008826",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.