Orangetown Ophthalmology Ny PC

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

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimball Pratt Woodward, MDNPI 1942223920

Title

MD/Owner

Phone

(845) 348-3400

Specialties & licenses 1

Addresses

Other names 1

• Orangetown Ophthalmology LLC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimball P Woodward I

  • Specialist
  • West Nyack, NY
  • NPI 1942223920
  Authorized official Same address or phone
• Laurie Solomon, MD

  • Obstetrics & Gynecology Physician
  • Suffern, NY
  • NPI 1588677066
  NPD

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orangetown Ophthalmology LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Ophthalmology Physician in New York

• 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.