Individual provider Active NPI

Allen J Fishman, M.D.

  • Ophthalmology Physician
  • Rego Park, NY
National Provider Identifier
1730100595
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
131063 Issued in NY
Practice address
9229 Queens Blvd
Suite 2I
Rego Park, NY 11374-1056
Phone
(718) 261-7007
Fax
(718) 459-4035
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 131063 NY Primary

Addresses

Primary practice location

9229 Queens Blvd
Suite 2I
Rego Park, NY 11374-1056

Mailing address

9229 Queens Blvd
Suite 2I
Rego Park, NY 11374-1056
Phone (718) 261-7007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afishman@fishmaneyecenter.intellechartdirect.net Direct

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
I20061215000419 NY Practitioner - Ophthalmology 2961401112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians

Practice addresses (Care Compare)

3127 41St St
Astoria, NY 11103-3901
Phone (718) 728-3400

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
85
Promoting interoperability
94
Improvement activities
40
Cost
62.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131063NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen J. Fishman, M.D., P.C. Ophthalmology CurrentSince Dec 9, 1995 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology Past Accepting new patients

Locations

3127 41st St
Astoria, NY 11103
Phone (212) 353-9443

3127 41st St
#13292
Astoria, NY 11103

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

9320A Roosevelt Ave
Fl 2
Jackson Hts, NY 11372
Phone (718) 334-6700

9229 Queens Blvd
Ste 2I
Rego Park, NY 11374
Phone (718) 261-7007

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: allen.fishman.p1@direct.ocli.nextgenshare.com
  • Direct secure messaging: afishman@fishmaneyecenter.intellechartdirect.net

Organizations & group practices 3

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.

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": "1587945600000",
    "number": "1730100595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD",
            "address_2": "SUITE 2I",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741056",
            "telephone_number": "718-261-7007",
            "fax_number": "718-459-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD",
            "address_2": "SUITE 2I",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741056",
            "telephone_number": "718-261-7007",
            "fax_number": "718-459-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "ALLEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "131063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afishman@fishmaneyecenter.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rego Park",
            "address_1": "9229 Queens Blvd",
            "address_2": "Suite 2I",
            "city": "Rego Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113741056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.