Fifth Avenue Oculofacial Aesthetic Surgery PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FIFTH AVENUE OCULOFACIAL AESTHETIC SURGERY PC

Practice address

1034 5TH Ave
New York, NY 10028-0157

Phone

(212) 570-0707

NPI assigned

May 8, 2006

Last updated

Sep 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ebrahim Elahi, MDNPI 1710939541

Title

Owner

Phone

(212) 570-0707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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.

• Samar Keshavarz Shirazi, OD

  • Optometrist
  • New York, NY
  • NPI 1275215469
  Medicare reassignment Care Compare group NPD
• Susan Zoltan, M.D.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1801006762
  Medicare reassignment Care Compare group NPD
• Andrew Schwartz, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1295787000
  Medicare reassignment Care Compare group
• Leona Chen, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1104875996
  Medicare reassignment NPD
• Ebrahim Elahi, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1710939541
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1598714693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280157",
            "telephone_number": "212-570-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280157",
            "telephone_number": "212-570-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE OCULOFACIAL AESTHETIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "ELAHI",
        "authorized_official_first_name": "EBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-570-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fifth Avenue Medical Operatory
• Fifth Avenue Medical Services, P.C.
• Fifth Avenue Millennium Aesthetic Surgery PLLC
• Fifth Avenue Neurology, PLLC
• Fifth Avenue OB GYN Associates PC
• Fifth Avenue Office-Based Surgery, PLLC
• Fifth Avenue Optics, Inc.
• Fifth Avenue Physical Therapy and Wellness PC
• Fifth Avenue Physical Therapy, P.C.
• Fifth Avenue Podiatry PLLC

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.