Organization Active NPI

Raymond J. Nisi,MD,PC

  • Specialist
  • Bronx, NY
National Provider Identifier
1740217108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
183813 Issued in NY
Legal business name
RAYMOND J. NISI,MD,PC
Practice address
1200 Waters Place
Suite M101 / North Lobby
Bronx, NY 10461-2729
Phone
(718) 904-9000
Fax
(718) 904-8610
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Allan R. Torres
Title
Administrating Manager
Phone
(718) 904-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 183813 NY Primary

Addresses

Primary practice location

1200 Waters Place
Suite M101 / North Lobby
Bronx, NY 10461-2729

Mailing address

1200 Waters PL
Suite M101
Bronx, NY 10461-2728
Phone (718) 904-9000

Other identifiers 1

IdentifierTypeStateIssuer
01851289MedicaidNY

Other names 1

  • Hutchison Metro Eye Surgeons Other name

National Provider Directory

National Provider Directory

Locations

1200 Waters Pl
Ste M101
Bronx, NY 10461
Phone (718) 863-5511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740217108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE M101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-904-9000",
            "fax_number": "718-904-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PLACE",
            "address_2": "SUITE M101 / NORTH LOBBY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612729",
            "telephone_number": "718-904-9000",
            "fax_number": "718-904-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND J. NISI,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATING MANAGER",
        "authorized_official_telephone_number": "718-904-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "183813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01851289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutchison Metro Eye Surgeons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.