Greater New York Ophthalmology Eye Care PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

204187 Issued in NY

Legal business name

GREATER NEW YORK OPHTHALMOLOGY EYE CARE PLLC

Practice address

13640 39TH Ave Ste 403
Flushing, NY 11354-5565

Phone

(718) 353-8460

NPI assigned

Aug 2, 2017

Last updated

Aug 2, 2017By 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. Nancy Fan-Paul, MDNPI 1386772531

Title

Owner

Phone

(718) 353-8460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Nancy I Fan-Paul, M.D.

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1386772531
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1770007437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15433 9TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571315",
            "telephone_number": "917-627-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 39TH AVE STE 403",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545565",
            "telephone_number": "718-353-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW YORK OPHTHALMOLOGY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "FAN-PAUL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-353-8460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "204187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Flushing, NY
• Providers in Flushing, 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 Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.