Individual provider Active NPI

Jeffrey Lewis Newmark, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1689897456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003908 Issued in NY
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
003908NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.