Organization Active NPI

Maple Eye and Laser Ophthalmology, PC

  • Ophthalmology Physician
  • White Plains, NY
National Provider Identifier
1861553554
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
204042 Issued in NY
Legal business name
MAPLE EYE AND LASER OPHTHALMOLOGY, PC
Practice address
61 Maple Ave
White Plains, NY 10601-5106
Phone
(914) 948-5157
Fax
(914) 948-3763
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Howard Strong Kornstein, M.D.NPI 1205808524
Title
Owner
Phone
(914) 948-5157

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 204042 NY Primary

Addresses

Primary practice location

61 Maple Ave
White Plains, NY 10601-5106

Mailing address

61 Maple Ave
White Plains, NY 10601-5106
Phone (914) 948-5157

Other names 1

  • Maple Eye and Laser Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000692 NY Part B Supplier - Clinic/Group Practice 4082719703 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory
Tax ID family
Maple Eye and Laser Ophthalmology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

61 Maple Ave
White Plains, NY 10601
Phone (914) 948-3417

Interoperability endpoints

  • Direct secure messaging: hkornstein@mapleeyeandlaser.intellechartdirect.net
  • Direct secure messaging: hoksman@mapleeyeandlaser.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1861553554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAPLE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015106",
            "telephone_number": "914-948-5157",
            "fax_number": "914-948-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAPLE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015106",
            "telephone_number": "914-948-5157",
            "fax_number": "914-948-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE EYE AND LASER OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KORNSTEIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "STRONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-948-5157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "204042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Eye and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.