Active NPI
Eye Surgery Center of Westchester, Inc
- Ophthalmologic Surgery Clinic/Center
- New Rochelle, NY
National Provider Identifier
1669427068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 5904203R
- Legal business name
- EYE SURGERY CENTER OF WESTCHESTER, INC
- Practice address
- 838 Pelhamdale Ave
New Rochelle, NY 10801-1032 - Phone
- (914) 576-9600
- Fax
- (914) 576-7875
- NPI assigned
- May 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Lippman, MD
- Title
- Administrator
- Phone
- (914) 576-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | 5904203R | NY | Primary |
Addresses
Primary practice location
838 Pelhamdale Ave
New Rochelle, NY 10801-1032
Mailing address
838 Pelhamdale Ave
New Rochelle, NY 10801-1032
Phone (914) 576-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003646 | Other | NY | EMPIRE BC ID NUMBER |
| 02087814 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111223000018 | NY | Part B Supplier - Ambulatory Surgical Center | 1557537420 | Practice locations: New Rochelle, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eye Surgery Center of Westchester Inc
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- New Rochelle, NY
- NPI 1871556274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1669427068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 PELHAMDALE AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108011032",
"telephone_number": "914-576-9600",
"fax_number": "914-576-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 PELHAMDALE AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108011032",
"telephone_number": "914-576-9600",
"fax_number": "914-576-7875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE SURGERY CENTER OF WESTCHESTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "LIPPMAN",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "914-576-9600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "NY",
"license": "5904203R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC ID NUMBER",
"identifier": "003646",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02087814",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.