Individual provider Active NPI

Alice Y Zhang, MD

  • Ophthalmology Physician
  • Malta, NY
National Provider Identifier
1770977944
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
307913-01 Issued in NY
Practice address
658 Malta Ave
Ste 101
Malta, NY 12020
Phone
(518) 580-0553
Fax
(518) 580-0557
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101266894 VA
Ophthalmology Physician 207W00000X 307913-01 NY Primary

Addresses

Primary practice location

658 Malta Ave
Ste 101
Malta, NY 12020

Mailing address

658 Malta Ave
Ste 101
Malta, NY 12020
Phone (518) 580-0553

Other practice location 1

1300 Jefferson Park Ave
Charlottesville, VA 22903-3363
Phone (434) 924-5485

Other identifiers 1

IdentifierTypeStateIssuer
03425445MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190618002226 VA Practitioner - Ophthalmology 1254665649 Reassigns benefits to 1 organization
I20210309002516 NY Practitioner - Ophthalmology 1254665649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Vitreo-Retinal Ophthalmology PLLCGroup PAC ID 7719078161, 14 clinicians

Practice addresses (Care Compare)

658 Malta Ave
Suite 101
Malta, NY 12020-4105
Phone (518) 580-0553

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
88.56
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
307913-01NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jul 1, 2019 Accepting new patients
Saratoga Vitreo-Retinal Ophthalmology, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Eyestudiony PastSince Mar 1, 2021 Accepting new patients
MCV Associated Physicians Ophthalmology PastSince Jul 1, 2019 Accepting new patients

Locations

1712 Route 9
Halfmoon, NY 12065
Phone (518) 368-4996

658 Malta Ave
Malta, NY 12020

658 Malta Ave
#101
Malta, NY 12020
Phone (518) 580-0553

2200 Burdett Ave
Ste 206
Troy, NY 12180
Phone (518) 271-6293

1300 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-2241

2955 Ivy Rd
Ste 300
Charlottesville, VA 22903

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

2955 Ivy Rd
Charlottesvle, VA 22903
Phone (434) 980-6555

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1770977944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 MALTA AVE",
            "address_2": "STE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 MALTA AVE",
            "address_2": "STE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Jefferson Park Ave",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229033363",
            "country_code": "US",
            "telephone_number": "434-924-5485",
            "fax_number": "434-244-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "ALICE",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101266894",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "307913-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03425445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

Verify at the official NPI Registry.