Organization Active NPI

Glaucoma Associates of New York PC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1730169780
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA ASSOCIATES OF NEW YORK PC
Practice address
310 E 14TH St
Suite 304 S
New York, NY 10003-4201
Phone
(212) 477-7540
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Dr. Elena Ilitchev
Title
Administrator
Phone
(212) 477-7540

Specialties & licenses 1

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

Addresses

Primary practice location

310 E 14TH St
Suite 304 S
New York, NY 10003-4201

Mailing address

310 E 14TH St
Suite 304 S
New York, NY 10003-4201
Phone (212) 477-7540

National Provider Directory

National Provider Directory

Locations

310 E 14th St
#304
New York, NY 10003
Phone (212) 477-7540

310 E 14th St
#304S
New York, NY 10003
Phone (212) 477-7540

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_RRMD

Practitioners & affiliated clinicians

Practitioners 2

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": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1730169780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "address_2": "SUITE 304 S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034201",
            "telephone_number": "212-477-7540",
            "fax_number": "212-388-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "address_2": "SUITE 304 S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034201",
            "telephone_number": "212-477-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA ASSOCIATES OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "ILITCHEV",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-477-7540",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 27, 2011; 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.