Organization Active NPI

Amiya Prasad, MD, PC

  • Ophthalmology Physician
  • Garden City, NY
National Provider Identifier
1780722744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
179440 Issued in NY
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

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
Kathy Baez
Title
Coo
Phone
(516) 693-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01557840MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1095210Amiya Prasad MD, PC901 Stewart Ave, Suite 206, Garden City, NY 11530Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.