Individual provider Active NPI

Julius Shulman, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1841294584
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
107626 Issued in NY
Practice address
229 E 79TH St
Ste 1L
New York, NY 10021-0866
Phone
(212) 861-6200
Fax
(212) 288-6545
NPI assigned
Jun 10, 2005
Reactivated
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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 107626 NY Primary

Addresses

Primary practice location

229 E 79TH St
Ste 1L
New York, NY 10021-0866

Mailing address

825 E Gate Blvd
Ste 111
Garden City, NY 11530-2136
Phone (516) 804-5200

Other identifiers 1

IdentifierTypeStateIssuer
00189684MedicaidNY

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
I20040315000437 NY Practitioner - Ophthalmology 6901794932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julius Shulman MD PCGroup PAC ID 0840188868, 3 clinicians

Practice addresses (Care Compare)

229 E 79TH St
Suite 1L
New York, NY 10075-0866
Phone (212) 861-0061

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
88.85
Improvement activities
40
Cost
80.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Julius Shulman MD PC Ophthalmology CurrentSince Oct 27, 2003 Accepting new patients
Richard Mackool, MD, PC Ophthalmology PastSince Oct 6, 2008 Accepting new patients

Locations

3127 41st St
Astoria, NY 11103
Phone (212) 353-9443

Networks

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

Interoperability endpoints

  • Direct secure messaging: jshulman@eastsideeye.direct.eyemdemr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1841294584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD",
            "address_2": "STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-804-5200",
            "fax_number": "516-240-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E 79TH ST",
            "address_2": "STE 1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210866",
            "telephone_number": "212-861-6200",
            "fax_number": "212-288-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "JULIUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-02-06",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "107626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00189684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.