Marie Kristine Nufable Panganiban, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

295313 Issued in NY

Practice address

688 White Plains Rd Ste 224
Scarsdale, NY 10583-5015

Phone

(914) 725-5556

Fax

(914) 725-5597

NPI assigned

Mar 30, 2014

Sex

Female

Sole proprietor

Yes

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

Albany Medical College of Union University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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

• Icahn School of Medicine at Mount Sinai

  dba BISLR Medical Groups of Mount Sinai

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568841930

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466

  Single Specialty

  NPD
• Icahn School of Medicine at Mount Sinai

  dba OB/GYN Department of Mount Sinai

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1124392212

  Single Specialty

  NPD (past)
• Mark D Fromer, MD PC

  dba Fromer Eye Centers

  • Ophthalmology Physician
  • Forest Hills, NY
  • NPI 1649306218

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1659799401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 WHITE PLAINS RD STE 224",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835015",
            "telephone_number": "914-725-5556",
            "fax_number": "914-725-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 WHITE PLAINS RD STE 224",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835015",
            "telephone_number": "914-725-5556",
            "fax_number": "914-725-5597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Community Dr",
            "address_2": "North Shore - LIJ Office of Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303816",
            "country_code": "US",
            "telephone_number": "516-562-4764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANGANIBAN",
        "first_name": "MARIE KRISTINE",
        "middle_name": "NUFABLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "295313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juby Tony Palackal
• Ari Joseph Paley, M.D.
• Alexa Palmer, LCAT, BCDMT, GLCMA
• Lillian Paluzzi
• Susan Ellen Panarella
• Christine Papaspiridakos, NP
• Geeta Parab, O.T.
• Marissa Parisi, SLP
• Jonghun Park
• Meghana Parsi

• Ophthalmology Physician in Scarsdale, NY
• Providers in Scarsdale, 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 22, 2021; 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.