Individual provider Active NPI

Jeffrey David Nightingale, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1669451886
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
118287 Issued in NY
Practice address
1776 Broadway Ste 1410
New York, NY 10019-2007
Phone
(212) 877-7188
Fax
(212) 877-3912
NPI assigned
Jan 16, 2006
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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 118287 NY Primary

Addresses

Primary practice location

1776 Broadway Ste 1410
New York, NY 10019-2007

Mailing address

1776 Broadway Ste 1410
New York, NY 10019-2007
Phone (212) 877-7188

Other practice location 1

211 Central Park W
Suite 1E
New York, NY 10024-6020
Phone (212) 877-7188

Other identifiers 1

IdentifierTypeStateIssuer
00200728MedicaidNY

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
I20110311000166 NY Practitioner - Ophthalmology 4082646948 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey D. Nightingale, MD PC Ophthalmology CurrentSince Sep 2, 1980 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients

Locations

1776 Broadway
Ste 1410
New York, NY 10019
Phone (212) 877-7188

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

Networks

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1669451886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY STE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192007",
            "telephone_number": "212-877-7188",
            "fax_number": "212-877-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY STE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192007",
            "telephone_number": "212-877-7188",
            "fax_number": "212-877-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Central Park W",
            "address_2": "Suite 1E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100246020",
            "country_code": "US",
            "telephone_number": "212-877-7188",
            "fax_number": "212-877-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGHTINGALE",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "118287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200728",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.