Organization Active NPI

Peter M Odell MD PC

  • Ophthalmologic Surgery Clinic/Center
  • New York, NY
National Provider Identifier
1841568870
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
109269 Issued in NY
Legal business name
PETER M ODELL MD PC
Practice address
53 E 70TH St
New York, NY 10021-4986
Phone
(212) 288-8025
Fax
(212) 288-8095
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. Peter M Odell, MDNPI 1265477608
Title
Prersident
Phone
(212) 288-8025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 109269 NY Primary

Addresses

Primary practice location

53 E 70TH St
New York, NY 10021-4986

Mailing address

53 East 70TH Street
New York, NY 10021
Phone (212) 288-8025

National Provider Directory

National Provider Directory

Locations

53 E 70th St
New York, NY 10021
Phone (212) 288-8025

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": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1841568870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 EAST 70TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-288-8025",
            "fax_number": "212-288-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214986",
            "telephone_number": "212-288-8025",
            "fax_number": "212-288-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M ODELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRERSIDENT",
        "authorized_official_telephone_number": "212-288-8025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NY",
            "license": "109269",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 3, 2017; 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.