Active NPI
Michael Kazim MD PC
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1689836744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 162657
- Legal business name
- MICHAEL KAZIM MD PC
- Practice address
- 635 W 165TH St
Room 207
New York, NY 10032-3724 - Phone
- (212) 305-5477
- Fax
- (212) 923-0075
- NPI assigned
- Jun 30, 2008
- 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
- Dr. Michael Kazim, MD
- Title
- President
- Phone
- (212) 305-5477
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 | 162657 | NY | Primary |
Addresses
Primary practice location
635 W 165TH St
Room 207
New York, NY 10032-3724
Mailing address
635 W 165TH St
Room 207
New York, NY 10032-3724
Phone (212) 305-5477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
635 W 165th St
Rm 207
New York, NY 10032
Phone (212) 305-5477
Practitioners & 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 York, NY
- NPI 1265452213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356912000000",
"number": "1689836744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W 165TH ST",
"address_2": "ROOM 207",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "212-305-5477",
"fax_number": "212-923-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W 165TH ST",
"address_2": "ROOM 207",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "212-305-5477",
"fax_number": "212-923-0075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL KAZIM MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2012-12-31",
"status": "A",
"authorized_official_last_name": "KAZIM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-305-5477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "162657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.