Organization Active NPI

Harold W. Najac, M.D., P.C.

  • Ophthalmology Physician
  • Kew Gardens, NY
National Provider Identifier
1821279449
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
185810 Issued in NY
Legal business name
HAROLD W. NAJAC, M.D., P.C.
Practice address
12510 Queens Blvd
Suite 305
Kew Gardens, NY 11415-1519
Phone
(718) 261-2666
Fax
(718) 268-0443
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Dr. Richard David Najac, MDNPI 1457383150
Title
Physician
Phone
(718) 261-2666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 185810 NY Primary

Addresses

Primary practice location

12510 Queens Blvd
Suite 305
Kew Gardens, NY 11415-1519

Mailing address

12510 Queens Blvd
Suite 305
Kew Gardens, NY 11415-1519
Phone (718) 261-2666

Other identifiers 1

IdentifierTypeStateIssuer
01483903MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100825000356 NY Part B Supplier - Clinic/Group Practice 4688798804 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Kew Gardens, NY; Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

8201 37th Ave
Ste 604
Jackson Heights, NY 11372
Phone (718) 261-2666

12510 Queens Blvd
Ste 305
Kew Gardens, NY 11415
Phone (718) 261-2666

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": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1821279449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD",
            "address_2": "SUITE 305",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151519",
            "telephone_number": "718-261-2666",
            "fax_number": "718-268-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD",
            "address_2": "SUITE 305",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151519",
            "telephone_number": "718-261-2666",
            "fax_number": "718-268-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD W. NAJAC, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "NAJAC",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-261-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "185810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01483903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.