Active NPI
Orangetown Ophthalmology Ny PC
- Ophthalmology Physician
- West Nyack, NY
National Provider Identifier
1730380932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 167622
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0402468 | Other | NY | GHI |
Other names 1
- Orangetown Ophthalmology LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Suffern, NY
- NPI 1588677066
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
- Ophthalmic Consultants of Long Island
- Oppenheim & Degen Intraoperative Neuromonitoring Services LLP
- Oppenheim & Degen, Neurological Surgeons, LLP
- Jeffrey S Oppenheim, M.D.
- Optimal Home Care Inc
- Clement Y Osei, MD
- Tina G Ottomano, COTA
- Nicole Alexis Pagano, OTR/L
- Palisades Advanced Imaging, PC
- Palisades Mall Dental LLP
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.