Active NPI
Amiya Prasad, MD, PC
- Ophthalmology Physician
- Garden City, NY
National Provider Identifier
1780722744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 179440
- Legal business name
- AMIYA PRASAD, MD, PC
- Practice address
- 901 Stewart Ave
Suite206
Garden City, NY 11530-4893 - Phone
- (516) 742-4636
- Fax
- (516) 742-4647
- NPI assigned
- Feb 2, 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
- Kathy Baez
- Title
- Coo
- Phone
- (516) 693-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 179440 | NY | Primary |
Addresses
Primary practice location
901 Stewart Ave
Suite206
Garden City, NY 11530-4893
Mailing address
PO Box 7123
Garden City, NY 11530-7123
Phone (516) 742-4636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01557840 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1095210 | Amiya Prasad MD, PC | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Garden City, NY
- NPI 1730257312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780722744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7123",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115307123",
"telephone_number": "516-742-4636",
"fax_number": "718-479-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 STEWART AVE",
"address_2": "SUITE206",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304893",
"telephone_number": "516-742-4636",
"fax_number": "516-742-4647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMIYA PRASAD, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BAEZ",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "516-693-0700"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "179440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01557840",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.