Individual provider Active NPI

Julia Maureen Fallon, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1871097295
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
299480 Issued in NY
Practice address
310 E 14TH St
New York, NY 10003-4284
Phone
(212) 979-4000
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 299480 NY Primary

Addresses

Primary practice location

310 E 14TH St
New York, NY 10003-4284

Mailing address

310 E 14TH St
New York, NY 10003-4284
Phone (212) 979-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220621002510 NY Practitioner - Ophthalmology 1557692381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians
New York Retina Consultants, PLLCGroup PAC ID 9133486889, 3 clinicians

Practice addresses (Care Compare)

310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939

310 E 14TH St
Suite 419
New York, NY 10003-4284
Phone (212) 353-5926

Hospital & facility affiliations

  • Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299480NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Bingjing Roberts,MD,PLLC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
New York Retina Consultants, PLLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Uri Shabto M D P C Ophthalmology PastSince Jul 1, 2024 Accepting new patients

Locations

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

310 E 14th St
Ste 419
New York, NY 10003
Phone (212) 353-5926

150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119

185 Canal St
#306
New York, NY 10013
Phone (212) 219-7786

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jfallon@nyretina.intellechartdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1871097295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034284",
            "telephone_number": "212-979-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034284",
            "telephone_number": "212-979-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "JULIA",
        "middle_name": "MAUREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "299480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.