Organization Active NPI

Ophthalmology Associates of Glen Cove, PC

  • Ophthalmology Physician
  • Glen Cove, NY
National Provider Identifier
1538178322
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY ASSOCIATES OF GLEN COVE, PC
Practice address
8 Medical PLZ
Suite 201
Glen Cove, NY 11542-2102
Phone
(516) 676-4596
Fax
(516) 674-0502
NPI assigned
Aug 8, 2006
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Anthony Girardi, MDNPI 1366451148
Title
President
Phone
(516) 676-4596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

8 Medical PLZ
Suite 201
Glen Cove, NY 11542-2102

Mailing address

8 Medical PLZ
Suite 201
Glen Cove, NY 11542-2102
Phone (516) 676-4596

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061228000191 NY Part B Supplier - Clinic/Group Practice 1153321005 Receives reassigned benefits from 2 practitioners
Practice locations: Glen Cove, NY

National Provider Directory

National Provider Directory

Locations

8 Medical Plz
Glen Cove, NY 11542
Phone (516) 759-5541

8 Medical Plz
Ste 201
Glen Cove, NY 11542
Phone (516) 676-4596

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1538178322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PLZ",
            "address_2": "SUITE 201",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422102",
            "telephone_number": "516-676-4596",
            "fax_number": "516-674-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PLZ",
            "address_2": "SUITE 201",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422102",
            "telephone_number": "516-676-4596",
            "fax_number": "516-674-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY ASSOCIATES OF GLEN COVE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "GIRARDI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-676-4596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.