Organization Active NPI

Donald Munro Fox, MD PC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1720503352
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
175-459 Issued in NY
Legal business name
DONALD MUNRO FOX, MD PC
Practice address
30 Central Park S RM 10a
New York, NY 10019-1628
Phone
(212) 772-1500
Fax
(212) 751-0118
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Donald Fox, MD
Title
President/Ceo
Phone
(212) 772-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X 175-459 NY Primary
Medical Specialty Clinic/Center 261QM2500X 175-459 NY

Addresses

Primary practice location

30 Central Park S RM 10a
New York, NY 10019-1628

Mailing address

120 Cabrini Blvd Apt 72
New York, NY 10033-3430
Phone (212) 543-3180

Other practice location 1

11624 Metropolitan Ave
Richmond Hill, NY 11418-1017
Phone (212) 772-1500

Other identifiers 1

IdentifierTypeStateIssuer
01640293MedicaidNY

National Provider Directory

National Provider Directory

Locations

9876 Queens Blvd
#1
Rego Park, NY 11374
Phone (347) 336-5972

11624 Metropolitan Ave
Richmond Hill, NY 11418
Phone (212) 772-1500

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1720503352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CABRINI BLVD APT 72",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333430",
            "telephone_number": "212-543-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S RM 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191628",
            "telephone_number": "212-772-1500",
            "fax_number": "212-751-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11624 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "NY",
            "postal_code": "114181017",
            "country_code": "US",
            "telephone_number": "212-772-1500",
            "fax_number": "718-847-9457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DONALD MUNRO FOX, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "212-772-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "175-459",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "175-459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01640293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.