Active NPI
Jeffrey Lewis Newmark, OD
- Optometrist
- New York, NY
National Provider Identifier
1689897456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 003908
- Practice address
- 5 Greenwich Ave
New York, NY 10014-3543 - Phone
- (212) 645-1395
- Fax
- (212) 645-2710
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 003908 | NY | Primary |
Addresses
Primary practice location
5 Greenwich Ave
New York, NY 10014-3543
Mailing address
30 Roxbury Rd
Port Washington, NY 11050-4315
Phone (515) 883-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003908 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Optical, Corp | Past | Accepting new patients | |
| New Age Optical Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689897456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ROXBURY RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110504315",
"telephone_number": "515-883-3411",
"fax_number": "212-645-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GREENWICH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143543",
"telephone_number": "212-645-1395",
"fax_number": "212-645-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMARK",
"first_name": "JEFFREY",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "003908",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.