Organization Active NPI

Bqe Ophthalmology, PC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1861789901
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
206344 Issued in NY
Legal business name
BQE OPHTHALMOLOGY, PC
Practice address
142 Joralemon St
Suite 7C
Brooklyn, NY 11201-4747
Phone
(718) 221-5122
Fax
(646) 224-9812
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Dr. David Soltanpour, M.D.NPI 1639274475
Title
Doctor
Phone
(347) 446-0159

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 206344 NY Primary

Addresses

Primary practice location

142 Joralemon St
Suite 7C
Brooklyn, NY 11201-4747

Mailing address

142 Joralemon St
Suite 7C
Brooklyn, NY 11201-4747
Phone (347) 446-0159

Other identifiers 2

IdentifierTypeStateIssuer
01961375MedicaidNY
1639274475OtherNYCURRENT INDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111209000487 NY Part B Supplier - Clinic/Group Practice 7012182629 Receives reassigned benefits from 1 practitioner
Practice locations: Floral Park, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

142 Joralemon St
Ste 7C
Brooklyn, NY 11201
Phone (718) 221-5122

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": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1861789901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "SUITE 7C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "347-446-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "SUITE 7C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "718-221-5122",
            "fax_number": "646-224-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BQE OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "SOLTANPOUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "347-446-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "206344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01961375",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRENT INDIVIDUAL NPI",
            "identifier": "1639274475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.