Individual provider Active NPI

Peter J.G. Maris Jr., M.D.

  • Ophthalmology Physician
  • Hempstead, NY
National Provider Identifier
1528029139
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
219623 Issued in NY
Practice address
230 Hilton Ave
Suite 118
Hempstead, NY 11550-8115
Phone
(516) 481-1786
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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 219623 NY Primary

Addresses

Primary practice location

230 Hilton Ave
Suite 118
Hempstead, NY 11550-8115

Mailing address

11 Surrey LN
Old Westbury, NY 11568-1138
Phone (516) 872-8309

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
I20050806000080 NY Practitioner - Ophthalmology 4880679695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Ophthalmic Care, P.L.L.C.Group PAC ID 8527133420, 2 clinicians

Practice addresses (Care Compare)

230 Hilton Ave
Suite 118
Hempstead, NY 11550-8116
Phone (516) 481-1570

Merit-based Incentive Payment System (MIPS)

Final score
99.01 of 100Reported as group
Quality
98.01
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Ophthalmic Care, P.L.L.C. Ophthalmology CurrentSince Aug 15, 2008 Accepting new patients
Peter J.G. Maris, M.D. Ophthalmology PastSince Aug 15, 2008 Accepting new patients

Locations

230 Hilton Ave
Ste 118
Hempstead, NY 11550
Phone (516) 481-1570

Networks

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

Interoperability endpoints

  • Direct secure messaging: petermaris@lioc.direct.eyemdemr.com
  • Direct secure messaging: pem9005@direct.nyp.org

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1528029139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SURREY LN",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681138",
            "telephone_number": "516-872-8309",
            "fax_number": "516-872-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 118",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-481-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIS",
        "first_name": "PETER",
        "middle_name": "J.G.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "219623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.