Individual provider Active NPI

Andrew Bradley Nightingale, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1790063121
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
265586 Issued in NY
Practice address
1776 Broadway Ste 1410
New York, NY 10019-2007
Phone
(212) 877-7188
Fax
(212) 877-3912
NPI assigned
Aug 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 265586 NY Primary

Addresses

Primary practice location

1776 Broadway Ste 1410
New York, NY 10019-2007

Mailing address

1776 Broadway Ste 1410
New York, NY 10019-2007
Phone (212) 877-7188

Other practice location 1

211 Central Park W # 1E
New York, NY 10024-6020
Phone (212) 877-7188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150918001674 NY Practitioner - Ophthalmology 9638486921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey D. Nightingale, MD PCGroup PAC ID 5092606814, 3 clinicians

Practice addresses (Care Compare)

211 Central Park W
Suite 1E
New York, NY 10024-6054
Phone (212) 877-7188

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery409

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265586NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey D. Nightingale, MD PC Ophthalmology CurrentSince Jul 1, 2015 Accepting new patients

Locations

1776 Broadway
Ste 1410
New York, NY 10019
Phone (212) 877-7188

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1790063121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY STE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192007",
            "telephone_number": "212-877-7188",
            "fax_number": "212-877-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY STE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192007",
            "telephone_number": "212-877-7188",
            "fax_number": "212-877-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Central Park W # 1E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100246020",
            "country_code": "US",
            "telephone_number": "212-877-7188",
            "fax_number": "212-877-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGHTINGALE",
        "first_name": "ANDREW",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "265586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.