Organization Active NPI

New York Eye Surgery Associates PLLC

  • Specialist
  • Bronx, NY
National Provider Identifier
1699873067
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEW YORK EYE SURGERY ASSOCIATES PLLC
Practice address
1101 Pelham Pkwy N
Bronx, NY 10469-5411
Phone
(718) 519-1000
NPI assigned
Sep 20, 2006
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Mr. Gerard Scalera
Title
Administrator
Phone
(718) 519-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1101 Pelham Pkwy N
Bronx, NY 10469-5411

Mailing address

1101 Pelham Pkwy N
Bronx, NY 10469-5411
Phone (718) 519-1000

Other identifiers 1

IdentifierTypeStateIssuer
00985406MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000423 NY Part B Supplier - Clinic/Group Practice 6800785148 Receives reassigned benefits from 16 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1699873067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695411",
            "telephone_number": "718-519-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695411",
            "telephone_number": "718-519-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK EYE SURGERY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "SCALERA",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-519-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00985406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.