Organization Active NPI

Upper Westside Opthalmology Eyecare

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1851487094
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
UPPER WESTSIDE OPTHALMOLOGY EYECARE
Practice address
1090 Amsterdam Avenue
Suite 9a
New York, NY 10025
Phone
(212) 662-0399
Fax
(212) 662-0259
NPI assigned
Oct 5, 2006
Last updated
Aug 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mr. Eli Marcovici, MDNPI 1770594376
Title
Dr.
Phone
(212) 662-0399

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1090 Amsterdam Avenue
Suite 9a
New York, NY 10025

Mailing address

1090 Amsterdam Avenue
Suite 9a
New York, NY 10025
Phone (212) 662-0399

Other identifiers 1

IdentifierTypeStateIssuer
19A321OtherEMPIRE HEALTHCHOICE

Other names 1

  • ELI MARCOVICI MD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1090 Amsterdam Ave
Ste 9A
New York, NY 10025
Phone (212) 523-5295

Practitioners & affiliated clinicians

Practitioners 2

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1851487094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVENUE",
            "address_2": "SUITE 9A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-662-0399",
            "fax_number": "212-662-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVENUE",
            "address_2": "SUITE 9A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-662-0399",
            "fax_number": "212-662-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER WESTSIDE OPTHALMOLOGY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "MARCOVICI",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "212-662-0399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTHCHOICE",
            "identifier": "19A321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELI MARCOVICI MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 27, 2012; 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.