Organization Active NPI

Empire State Eye Care Medical, PLLC

  • Ophthalmology Physician
  • Forest Hills, NY
National Provider Identifier
1700509254
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EMPIRE STATE EYE CARE MEDICAL, PLLC
Practice address
11821 Queens Blvd Ste 314
Forest Hills, NY 11375-7209
Phone
(917) 719-0312
NPI assigned
Sep 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Sarwar Zahid, MDNPI 1972845287
Title
Physician
Phone
(917) 498-5468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11821 Queens Blvd Ste 314
Forest Hills, NY 11375-7209

Mailing address

4325 Hunter St PH 2W
Long Island City, NY 11101-4775
Phone (917) 498-5468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230123000116 NY Part B Supplier - Clinic/Group Practice 0648641019 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY; Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

11821 Queens Blvd
Ste 314
Forest Hills, NY 11375
Phone (917) 719-0312

Practitioners & affiliated clinicians

Practitioners 3

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": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1700509254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 HUNTER ST PH 2W",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014775",
            "telephone_number": "917-498-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 QUEENS BLVD STE 314",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757209",
            "telephone_number": "917-719-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE EYE CARE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "ZAHID",
        "authorized_official_first_name": "SARWAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-498-5468",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 20, 2022; 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.