Individual provider Active NPI

Edward M Baron, M.D.

  • Ophthalmology Physician
  • Valley Stream, NY
National Provider Identifier
1699770586
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
162404 Issued in NY
Practice address
65 Roosevelt Ave
Ste 204
Valley Stream, NY 11581-1106
Phone
(516) 374-4199
Fax
(516) 295-5303
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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 162404 NY Primary

Addresses

Primary practice location

65 Roosevelt Ave
Ste 204
Valley Stream, NY 11581-1106

Mailing address

375 E Main St
Ste 24
Bay Shore, NY 11706-8418
Phone (516) 872-8309

Other identifiers 1

IdentifierTypeStateIssuer
01128436MedicaidNY

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
I20050302001058 NY Practitioner - Ophthalmology 2961455811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

375 E Main St
Suite 24
Bay Shore, NY 11706-8418
Phone (631) 655-1330

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162404NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Mar 1, 2015 Accepting new patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Mar 1, 2015 Accepting new patients
University Group Medical Associates, P.C Ophthalmology Past Accepting new patients

Locations

180 E Main St
Ste 1
Bay Shore, NY 11706
Phone (631) 665-3918

375 E Main St
Ste 24
Bay Shore, NY 11706
Phone (631) 665-1330

180 E Main St
Bay Shore, NY 11706
Phone (631) 665-0027

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

250 Patchogue Yaphank Rd
Ste 1
East Patchogue, NY 11772
Phone (631) 289-0678

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

220 Maple Ave
Rockville Ctr, NY 11570

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Networks

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

Interoperability endpoints

  • Direct secure messaging: ebaron839332@nychhc.direct-ci.com

Organizations & group practices 4

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1699770586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "STE 24",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068418",
            "telephone_number": "516-872-8309",
            "fax_number": "516-872-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ROOSEVELT AVE",
            "address_2": "STE 204",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811106",
            "telephone_number": "516-374-4199",
            "fax_number": "516-295-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "162404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01128436",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.