Individual provider Active NPI

Wally Kopelowitz, MD

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1639128135
Registry record updated Mar 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1371321 Issued in NY
Practice address
546 Eastern Parkway
Empire Center
Brooklyn, NY 11225
Phone
(718) 604-4800
Fax
(718) 604-4828
NPI assigned
May 10, 2006
Last updated
Mar 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2008

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 1371321 NY Primary

Addresses

Primary practice location

546 Eastern Parkway
Empire Center
Brooklyn, NY 11225

Mailing address

233 Nostrand Ave
Brooklyn, NY 11205
Phone (718) 826-3911

Other identifiers 1

IdentifierTypeStateIssuer
00460297MedicaidNY

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
I20040911000027 NY Practitioner - Ophthalmology 1557338407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
76.67
Promoting interoperability
89
Improvement activities
40
Cost
73.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1371321NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Comprehensive Medical Wellness P.C. CurrentSince May 15, 2023 Accepting new patients
First Medcare, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Nov 22, 2015 Accepting new patients
Jeffrey S Frieling MD PC PastSince Nov 5, 2015 Accepting new patients

Locations

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

329 E 149th St
Bronx, NY 10451

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

8707 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 257-2648

528 Prospect Pl
Brooklyn, NY 11238
Phone (718) 613-6800

14732 Jamaica Ave
Lowr
Jamaica, NY 11435
Phone (718) 206-2002

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: wkopelowitz@neilpatel.emadirect.md

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204329600000",
    "number": "1639128135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11205",
            "telephone_number": "718-826-3911",
            "fax_number": "718-826-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 EASTERN PARKWAY",
            "address_2": "EMPIRE CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11225",
            "telephone_number": "718-604-4800",
            "fax_number": "718-604-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPELOWITZ",
        "first_name": "WALLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1371321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00460297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.