Active NPI
R S Family Eye Medical Care PC
- Ophthalmology Physician
- Rego Park, NY
National Provider Identifier
1679071195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- R S FAMILY EYE MEDICAL CARE PC
- Practice address
- 9732 63Rd Rd
Rego Park, NY 11374-1639 - Phone
- (347) 730-4606
- NPI assigned
- Jan 30, 2018
- Last updated
- Jan 30, 2018
- 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
- Richard Scott Russell, MD
- Title
- MD
- Phone
- (347) 730-4606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
9732 63Rd Rd
Rego Park, NY 11374-1639
Mailing address
7119 168TH St
Fresh Meadows, NY 11365-3241
Phone (347) 730-4606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9728 63rd Rd
Rego Park, NY 11374
Phone (347) 730-4606
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Great Neck, NY
- NPI 1598772923
-
- Ophthalmology Physician
- Great Neck, NY
- NPI 1215995139
-
- Ophthalmology Physician
- New York, NY
- NPI 1962400747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517270400000",
"number": "1679071195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7119 168TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653241",
"telephone_number": "347-730-4606",
"fax_number": "855-310-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9732 63RD RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741639",
"telephone_number": "347-730-4606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R S FAMILY EYE MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "347-730-4606",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.