Individual provider Active NPI

Soo Mee Pak, MD

  • Ophthalmology Physician
  • New City, NY
National Provider Identifier
1851482228
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
193902 Issued in NY
Practice address
112 Maple Ave
New City, NY 10956-5042
Phone
(845) 634-2900
Fax
(845) 634-3066
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 193902 NY Primary

Addresses

Primary practice location

112 Maple Ave
New City, NY 10956-5042

Mailing address

112 Maple Ave
New City, NY 10956-5042
Phone (845) 634-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050830000691 NJ Practitioner - Ophthalmology 1850322785 Reassigns benefits to 1 organization
I20051207000863 NY Practitioner - Ophthalmology 1850322785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Partners of Rockland, P.C.Group PAC ID 3577583731, 2 clinicians

Practice addresses (Care Compare)

112 Maple Ave
New City, NY 10956-5042
Phone (845) 634-2900

500 N Franklin Tpke
Ramsey, NJ 07446-1177
Phone (845) 634-2900

Merit-based Incentive Payment System (MIPS)

Final score
76.06 of 100Reported as individual
Quality
92
Improvement activities
40
Cost
30.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193902NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corneal Associates of New Jersey Ophthalmology Past Accepting new patients
Omni Eye Specialists P a Ophthalmology PastSince Apr 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1851482228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAPLE AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565042",
            "telephone_number": "845-634-2900",
            "fax_number": "845-634-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAPLE AVE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565042",
            "telephone_number": "845-634-2900",
            "fax_number": "845-634-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "SOO MEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "193902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.