Individual provider Active NPI

Elliott M. Feinman, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1679583553
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
136144 Issued in NY
Practice address
4966 Broadway
Suite #1
New York, NY 10034-2318
Phone
(212) 304-2020
Fax
(212) 304-2950
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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 136144 NY Primary

Addresses

Primary practice location

4966 Broadway
Suite #1
New York, NY 10034-2318

Mailing address

26 Firemens Memorial Dr
Suite 115
Pomona, NY 10970-3553
Phone (845) 362-8400

Other identifiers 1

IdentifierTypeStateIssuer
90A981OtherNYMEDICARE

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
I20101021001147 NY Practitioner - Ophthalmology 7618160649 Reassigns benefits to 5 organizations
Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136144NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince May 21, 2021 Accepting new patients
Karen Allison, M.D., P.C. Ophthalmology CurrentSince May 7, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince May 21, 2021 Accepting new patients
Grand Fashion Optical, Inc Ophthalmology CurrentSince Jan 13, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince May 21, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 21, 2021 Accepting new patients
Advanced Eye Physician PLLC Ophthalmology CurrentSince Jan 13, 2023 Accepting new patients
St. Albans Optics, Inc. Past Accepting new patients
Gabriel M Ferreira MD PC Past Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

24836 Jericho Tpke
Floral Park, NY 11001
Phone (516) 352-7111

4270 Kissena Blvd
Flushing, NY 11355
Phone (718) 888-9838

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

20516 Linden Blvd
Saint Albans, NY 11412
Phone (718) 525-2200

Networks

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1679583553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR",
            "address_2": "SUITE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703553",
            "telephone_number": "845-362-8400",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 BROADWAY",
            "address_2": "SUITE #1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342318",
            "telephone_number": "212-304-2020",
            "fax_number": "212-304-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINMAN",
        "first_name": "ELLIOTT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "136144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "90A981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.