Individual provider Active NPI

Melissa Susan Pashcow, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1598873952
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
131048 Issued in NY
Practice address
1430 2ND Ave
Suite 108
New York, NY 10021-3313
Phone
(212) 737-0220
Fax
(718) 497-8762
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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 131048 NY Primary

Addresses

Primary practice location

1430 2ND Ave
Suite 108
New York, NY 10021-3313

Mailing address

1430 2ND Ave
Suite 108
New York, NY 10021-3313
Phone (212) 737-0220

Other identifiers 2

IdentifierTypeStateIssuer
00524832MedicaidNY
41407OtherNYGHI MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1598873952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 2ND AVE",
            "address_2": "SUITE 108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213313",
            "telephone_number": "212-737-0220",
            "fax_number": "718-497-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 2ND AVE",
            "address_2": "SUITE 108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213313",
            "telephone_number": "212-737-0220",
            "fax_number": "718-497-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHCOW",
        "first_name": "MELISSA",
        "middle_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "131048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00524832",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "41407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.