Active NPI
Louis M Maisel, MD
- Specialist
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 178980
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01474262 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alterman Modi & Wolter Ophthalmic Physicians & Surgeons PLLC | Current | Accepting new patients | |
| Long Island Vitreo Retinal Consultants PC | Current | 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 | Past | 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
- 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.
-
- Ophthalmology Physician
- Poughkeepsie, NY
- NPI 1124188693
-
- Retina Specialist (Ophthalmology) Physician
- Great Neck, NY
- NPI 1437262755
-
- Specialist
- New City, NY
- NPI 1104981687
-
- Specialist
- Bronx, NY
- NPI 1558426080
-
- Retina Specialist (Ophthalmology) Physician
- Great Neck, NY
- NPI 1740474402
-
- Retina Specialist (Ophthalmology) Physician
- Elmhurst, NY
- NPI 1235242553
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.