Organization Active NPI

Ophthalmic Consultants of Long Island

  • Specialist
  • Jackson Heights, NY
National Provider Identifier
1720156458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
193409 Issued in NY
Legal business name
OPHTHALMIC CONSULTANTS OF LONG ISLAND
Practice address
3742 73Rd St
Jackson Heights, NY 11372-6246
Phone
(718) 426-3736
Fax
(718) 426-4474
NPI assigned
Dec 1, 2006
Organization subpart
No

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Avi Wallerstein MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3742 73rd St
Jackson Hts, NY 11372
Phone (718) 426-3739

266 Merrick Rd
Ste 110
Lynbrook, NY 11563
Phone (516) 766-2519

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Burke
Title
Ceo
Phone
(516) 872-8309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 193409 NY Primary

Addresses

Primary practice location

3742 73Rd St
Jackson Heights, NY 11372-6246

Mailing address

266 Merrick Rd
Suite 110
Lynbrook, NY 11563-2640
Phone (516) 872-8309

Other identifiers 2

IdentifierTypeStateIssuer
1245271600OtherNYNPI GROUP# SUFFOLK
1285675660OtherNYNPI GROUP# NASSAU

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720156458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MERRICK RD",
            "address_2": "SUITE 110",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632640",
            "telephone_number": "516-872-8309",
            "fax_number": "516-872-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 73RD ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726246",
            "telephone_number": "718-426-3736",
            "fax_number": "718-426-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC CONSULTANTS OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-872-8309"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "193409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP# SUFFOLK",
            "identifier": "1245271600",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP# NASSAU",
            "identifier": "1285675660",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.