Individual provider Active NPI

James Maisel, M.D.

  • Ophthalmology Physician
  • Hicksville, NY
National Provider Identifier
1720009525
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
138708 Issued in NY
Practice address
400 So Oyster Bay Rd
Ste 305
Hicksville, NY 11801
Phone
(516) 939-6100
Fax
(516) 939-2510
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 138708 NY Primary
Ophthalmology Physician 207W00000X ME0058247 FL

Addresses

Primary practice location

400 So Oyster Bay Rd
Ste 305
Hicksville, NY 11801

Mailing address

400 So Oyster Bay Rd
Ste 305
Hicksville, NY 11801
Phone (516) 939-6100

Other identifiers 7

IdentifierTypeStateIssuer
00783188310003MedicaidNY
00D161OtherBCBS
58809POtherHIP
41409OtherUS HEALTH
41409OtherAETNA
3598OtherVYTRA PPO
AS1211OtherOXFORD

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
I20100219000093 NY Practitioner - Ophthalmology 6103916655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1978
Medicare assignment
May accept Medicare assignment
Group practices
James M. Maisel MD PLLCGroup PAC ID 1254421118, 2 clinicians

Practice addresses (Care Compare)

400 S Oyster Bay Rd
Hicksville, NY 11801-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058247FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James M. Maisel, M.D., P.L.L.C. Ophthalmology CurrentSince Jul 2, 1979 Accepting new patients
Retina Group of New York PastSince Jan 1, 1990 Accepting new patients

Locations

400 S Oyster Bay Rd
Ste 305
Hicksville, NY 11801
Phone (516) 939-6100

1455 Veterans Memorial Hwy
Islandia, NY 11749
Phone (631) 273-1818

1455 Veterans Memorial Hwy
Fl 1
Islandia, NY 11749

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1720009525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SO OYSTER BAY RD",
            "address_2": "STE 305",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-939-6100",
            "fax_number": "516-939-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SO OYSTER BAY RD",
            "address_2": "STE 305",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-939-6100",
            "fax_number": "516-939-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISEL",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138708",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0058247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00783188310003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00D161",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "58809P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH",
            "identifier": "41409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "41409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA PPO",
            "identifier": "3598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AS1211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.