Individual provider Active NPI

Mark Stein, M.D.

  • Ophthalmology Physician
  • Wantagh, NY
National Provider Identifier
1841261369
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
112471 Issued in NY
Practice address
2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone
(516) 785-3900
Fax
(516) 783-0033
NPI assigned
Feb 1, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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 112471 NY Primary

Addresses

Primary practice location

2185 Wantagh Ave
Wantagh, NY 11793-3917

Mailing address

2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone (516) 785-3900

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
I20070620000490 NY Practitioner - Ophthalmology 4082669122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Eye Care LLPGroup PAC ID 4880585967, 9 clinicians

Practice addresses (Care Compare)

2185 Wantagh Ave
Wantagh, NY 11793-3917
Phone (516) 785-3900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112471NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Eye Care, LLP Ophthalmology CurrentSince Jan 1, 1999 Accepting new patients

Locations

2185 Wantagh Ave
Wantagh, NY 11793
Phone (516) 783-3900

Networks

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

Interoperability endpoints

  • Direct secure messaging: mstein@southshoreeyecare.direct.eyemdemr.com

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1841261369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-785-3900",
            "fax_number": "516-783-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-785-3900",
            "fax_number": "516-783-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "112471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.