Organization Active NPI

Orangetown Ophthalmology Ny PC

  • Ophthalmology Physician
  • West Nyack, NY
National Provider Identifier
1730380932
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
167622 Issued in NY
Legal business name
ORANGETOWN OPHTHALMOLOGY NY PC
Practice address
2 Crosfield Ave
Ste 315
West Nyack, NY 10994-2220
Phone
(845) 348-3400
Fax
(348) 348-3438
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Kimball Pratt Woodward, MD
Title
MD/Owner
Phone
(845) 348-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 167622 NY Primary

Addresses

Primary practice location

2 Crosfield Ave
Ste 315
West Nyack, NY 10994-2220

Mailing address

2 Crosfield Ave
Ste 315
West Nyack, NY 10994-2220
Phone (845) 348-3400

Other identifiers 1

IdentifierTypeStateIssuer
0402468OtherNYGHI

Other names 1

  • Orangetown Ophthalmology LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

348 Route 9W
Palisades, NY 10964
Phone (845) 680-0800

2 Crosfield Ave
Ste 315
West Nyack, NY 10994
Phone (845) 680-0800

Practitioners & affiliated clinicians

Practitioners 1

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1730380932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "STE 315",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942220",
            "telephone_number": "845-348-3400",
            "fax_number": "348-348-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "STE 315",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942220",
            "telephone_number": "845-348-3400",
            "fax_number": "348-348-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGETOWN OPHTHALMOLOGY NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "KIMBALL",
        "authorized_official_middle_name": "PRATT",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "845-348-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "167622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0402468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orangetown Ophthalmology LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.