Individual provider Active NPI

Peter L Menger, MD

  • Ophthalmology Physician
  • Glendale, NY
National Provider Identifier
1477545572
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
163197 Issued in NY
Practice address
7809 Myrtle Ave
Glendale, NY 11385-7439
Phone
(718) 386-1818
Fax
(718) 821-1852
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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 163197 NY Primary

Addresses

Primary practice location

7809 Myrtle Ave
Glendale, NY 11385-7439

Mailing address

7809 Myrtle Ave
Glendale, NY 11385-7439
Phone (718) 386-1818

Other identifiers 1

IdentifierTypeStateIssuer
01101000MedicaidNY

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
I20051101000783 NY Practitioner - Ophthalmology 1052338738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163197NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Ophthalmology CurrentSince Aug 19, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 19, 2024 Accepting new patients
Lighthouse International Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

7809 Myrtle Ave
Glendale, NY 11385
Phone (718) 386-1818

111 E 59th St
New York, NY 10022
Phone (212) 355-2200

111 E 59th St
Fl 13
New York, NY 10022
Phone (212) 821-8219

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: petermenger@mengereyecenter.direct.eyemdemr.com
  • Direct secure messaging: pmenger@northwellhealth.intellechartdirect.net

Organizations & group practices 3

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1477545572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857439",
            "telephone_number": "718-386-1818",
            "fax_number": "718-821-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857439",
            "telephone_number": "718-386-1818",
            "fax_number": "718-821-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGER",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "163197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01101000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.