Organization Active NPI

John a. Pilavas MD PLLC

  • Ophthalmology Physician
  • Astoria, NY
National Provider Identifier
1851897466
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
274392 Issued in NY
Legal business name
JOHN A. PILAVAS MD PLLC
Practice address
2509 31St Ave
Astoria, NY 11106-3620
Phone
(718) 204-5100
Fax
(718) 204-2580
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
John A Pilavas, MDNPI 1275851230
Title
MD
Phone
(718) 204-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 274392 NY Primary

Addresses

Primary practice location

2509 31St Ave
Astoria, NY 11106-3620

Mailing address

2509 31St Ave
Astoria, NY 11106-3620
Phone (718) 204-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509001816 NY Part B Supplier - Clinic/Group Practice 0547524035 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY; New Hyde Park, NY; New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1851897466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063620",
            "telephone_number": "718-204-5100",
            "fax_number": "718-204-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063620",
            "telephone_number": "718-204-5100",
            "fax_number": "718-204-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. PILAVAS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "PILAVAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-204-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "274392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.