Organization Active NPI

Mark Avinoam Bitton MD PC

  • Ophthalmology Physician
  • Forest Hills, NY
National Provider Identifier
1689847006
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
153828 Issued in NY
Legal business name
MARK AVINOAM BITTON MD PC
Practice address
10025 Queens Blvd
Apt 1M-L
Forest Hills, NY 11375-2454
Phone
(718) 997-1400
Fax
(718) 504-4353
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Avi M Bitton, MD
Title
President
Phone
(718) 997-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 153828 NY Primary

Addresses

Primary practice location

10025 Queens Blvd
Apt 1M-L
Forest Hills, NY 11375-2454

Mailing address

10025 Queens Blvd
Apt 1M-L
Forest Hills, NY 11375-2454
Phone (718) 997-1400

Other identifiers 1

IdentifierTypeStateIssuer
00761688MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000344 NY Part B Supplier - Clinic/Group Practice 1951470558 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1689847006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 QUEENS BLVD",
            "address_2": "APT 1M-L",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752454",
            "telephone_number": "718-997-1400",
            "fax_number": "718-504-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 QUEENS BLVD",
            "address_2": "APT 1M-L",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752454",
            "telephone_number": "718-997-1400",
            "fax_number": "718-504-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK AVINOAM BITTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BITTON",
        "authorized_official_first_name": "AVI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-997-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "153828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00761688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.

Verify at the official NPI Registry.