Organization Active NPI

Maculacare, PLLC

  • Specialist
  • New York, NY
National Provider Identifier
1841377355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MACULACARE, PLLC
Practice address
52 E 72ND St
New York, NY 10021-4266
Phone
(212) 439-9600
Fax
(212) 439-0796
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melanie Marie Saez
Title
Office Manager
Phone
(212) 439-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

52 E 72ND St
New York, NY 10021-4266

Mailing address

52 E 72ND St
New York, NY 10021-4266
Phone (212) 439-9600

Other identifiers 1

IdentifierTypeStateIssuer
01676177MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621000295 NY Part B Supplier - Clinic/Group Practice 6901881432 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY; Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2023384Maculacare, PLLC52 East 72ND Street, New York, NY 10021Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Locations

78 Todt Hill Rd
Ste 111
Staten Island, NY 10314
Phone (718) 442-3232

Practitioners & affiliated clinicians

Practitioners 6

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841377355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214266",
            "telephone_number": "212-439-9600",
            "fax_number": "212-439-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214266",
            "telephone_number": "212-439-9600",
            "fax_number": "212-439-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACULACARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAEZ",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-439-9600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01676177",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.