Evelyn J Icasiano, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2437021 Issued in NY

Practice address

150 E 32ND St
New York, NY 10016-6058

Phone

(212) 689-2020

NPI assigned

May 5, 2007

Last updated

Jun 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smart Medical PLLCGroup PAC ID 0648400028, 12 clinicians

Robert Latkany MD PCGroup PAC ID 9032289608, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: eicasiano@smse2085.srs-direct.com
• FHIR API: https://api.platform.athenahealth.com/14049/brand/10/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert Latkany MD PC

  dba Physician Eyecare of NY

  • Ophthalmology Physician
  • Rye, NY
  • NPI 1780856690
  Medicare reassignment Care Compare group NPD
• Smart Medical PLLC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1902237233
  Medicare reassignment Care Compare group NPD
• Eric S Dessner MD PC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1720351703
  Medicare reassignment NPD
• Comprehensive Eyecare and Surgery, LLC

  • Ophthalmology Physician
  • Union City, NJ
  • NPI 1760736888
  Authorized official Same address or phone
• Murray Hill Medical Associates PLLC

  • Specialist
  • New York, NY
  • NPI 1689803801
  NPD
• Union Square Eye Care LLC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1508188038
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York Eye & Ear Infirmary

  • Special Hospital
  • New York City, NY
  • NPI 1245251222
  Care Compare affiliation

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1619189164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CENTRAL AVE",
            "address_2": "# 220",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875302",
            "telephone_number": "917-334-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166058",
            "telephone_number": "212-689-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICASIANO",
        "first_name": "EVELYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "2437021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icahn School of Medicine at Mount Sinai Nyee Faculty Practice (NYEE Faculty Practice Ophthalmology)
• Icahn School of Medicine of Mount Sinai (Pediatric Department of Mount Sinai BI)
• Icare of New York Ipa LLC
• Icare Therapy LLC
• Jose Icasas, PT
• Icd Center
• Icd International Center for the Disabled
• Icd International Center for the Disabled
• Icd International Center for the Disabled
• Icd International Center for the Disabled

• 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 Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.