NPIMap

Organization Active NPI

Jeffrey Cooper O.D., P.C.

  • Corneal and Contact Management Optometrist
  • New York, NY
National Provider Identifier
1821271354
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
VUT006115 Issued in NY
Legal business name
JEFFREY COOPER O.D., P.C.
Practice address
539 Park Ave
New York, NY 10065-8167
Phone
(212) 758-0772
Fax
(212) 758-3532
NPI assigned
Dec 6, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Jennifer Colavito, O.D.
Title
Optometrist
Phone
(212) 758-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X VUT006115 NY Primary

Addresses

Primary practice location

539 Park Ave
New York, NY 10065-8167

Mailing address

539 Park Ave
New York, NY 10065-8167
Phone (212) 758-0772

Other identifiers 2

IdentifierTypeStateIssuer
02118165MedicaidNY
JC0C265B10OtherNYBC/BS

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey Cooper OD PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1821271354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658167",
            "telephone_number": "212-758-0772",
            "fax_number": "212-758-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658167",
            "telephone_number": "212-758-0772",
            "fax_number": "212-758-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY COOPER O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "COLAVITO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "212-758-0772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "VUT006115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02118165",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "JC0C265B10",
            "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 Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.