Active NPI
Eli Marcovici, M.D.
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1770594376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 133044
- Practice address
- 1090 Amsterdam Ave
Suite 9a
New York, NY 10025-1737 - Phone
- (212) 662-0399
- Fax
- (212) 662-0259
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 133044 | NY | Primary |
Addresses
Primary practice location
1090 Amsterdam Ave
Suite 9a
New York, NY 10025-1737
Mailing address
1090 Amsterdam Avenue
Suite 9a
New York, NY 10025
Phone (212) 662-0399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00773895 | Medicaid | NY | |
| A400063531 | Other | NY | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Care of New York, PLLC | Ophthalmology | Past | Accepting new patients |
| St Lukes Roosevelt Community Care | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- New York, NY
- NPI 1457695421
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1770594376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 AMSTERDAM AVENUE",
"address_2": "SUITE 9A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-662-0399",
"fax_number": "212-662-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 AMSTERDAM AVE",
"address_2": "SUITE 9A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251737",
"telephone_number": "212-662-0399",
"fax_number": "212-662-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCOVICI",
"first_name": "ELI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "133044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00773895",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "A400063531",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.