Individual provider Active NPI

Louis M Maisel, MD

  • Specialist
  • New City, NY
National Provider Identifier
1851327654
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
178980 Issued in NY
Practice address
20 Squadron Blvd
Suite 102
New City, NY 10956-5200
Phone
(845) 708-0900
Fax
(845) 708-0931
NPI assigned
Jun 23, 2006
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 178980 NY Primary

Addresses

Primary practice location

20 Squadron Blvd
Suite 102
New City, NY 10956-5200

Mailing address

PO Box 547
New City, NY 10956-0547
Phone (845) 708-0900

Other identifiers 1

IdentifierTypeStateIssuer
01474262MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmaisel@rocklandretina.intellechartdirect.net

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
I20050228000271 NY Practitioner - Ophthalmology 8022061340 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alterman Modi & Wolter Ophthalmic Physicians & Surgeons PLLC CurrentSince Jun 9, 2009 Accepting new patients
Long Island Vitreo Retinal Consultants PC CurrentSince Sep 14, 2021 Accepting new patients
Long Island Vitreo Retinal Consultants PC Past Accepting new patients
Maisel & Osborne MD PLLC Specialist Past Accepting new patients
Long Island Vitreo Retinal Consultants PastSince Sep 14, 2021 Accepting new patients

Locations

600 Northern Blvd
Ste 216
Great Neck, NY 11021
Phone 5164660390204

200 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 234-5666

20 Squadron Blvd
Ste 102
New City, NY 10956
Phone (845) 708-0900

23 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 454-1025

27 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 454-1025

1600 Stewart Ave
Ste 411
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: lmaisel@rocklandretina.intellechartdirect.net

Organizations & group practices 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1851327654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109560547",
            "telephone_number": "845-708-0900",
            "fax_number": "845-708-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SQUADRON BLVD",
            "address_2": "SUITE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565200",
            "telephone_number": "845-708-0900",
            "fax_number": "845-708-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISEL",
        "first_name": "LOUIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "178980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01474262",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmaisel@rocklandretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "20 Squadron Blvd",
            "address_2": "Suite 102",
            "city": "New City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109565200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.