Individual provider Active NPI

Michael Nejat, MD

  • Ophthalmology Physician
  • Staten Island, NY
National Provider Identifier
1871576025
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
205325 Issued in NY
Practice address
4299 Hylan Blvd
Staten Island, NY 10312-6527
Phone
(718) 984-7616
Fax
(718) 984-8584
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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 205325 NY Primary

Addresses

Primary practice location

4299 Hylan Blvd
Staten Island, NY 10312-6527

Mailing address

4299 Hylan Blvd
Staten Island, NY 10312-6527
Phone (718) 984-7616

Other identifiers 2

IdentifierTypeStateIssuer
P00223699OtherNYRAILROAD MEDICARE
02108047MedicaidNY

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
I20080709000046 NY Practitioner - Ophthalmology 0143392142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gerstenfeld and Gerstenfeld M D S P CGroup PAC ID 4789756784, 4 clinicians

Practice addresses (Care Compare)

1500 Victory Blvd
Staten Island, NY 10301-3912
Phone (718) 984-7616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.36 of 100Reported as group
Quality
99.18
Improvement activities
40
Cost
72.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery943

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gerstenfeld & Gerstenfeld M D S P C Ophthalmology CurrentSince May 28, 2008 Accepting new patients
Physicians of University Hospital, PC CurrentSince Oct 1, 2013 Accepting new patients
Physicians of University Hospital, PC CurrentSince Oct 1, 2013 Accepting new patients
Manhattan Eye Ear and Throat Hospital Past Accepting new patients
Island Eye Optical Corp. Past Accepting new patients

Locations

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

1500 Victory Blvd
Staten Island, NY 10301
Phone (718) 556-5550

4299 Hylan Blvd
Staten Island, NY 10312
Phone (718) 984-7616

Interoperability endpoints

  • Direct secure messaging: mnejat68955@northwell.direct-ci.com

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1871576025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126527",
            "telephone_number": "718-984-7616",
            "fax_number": "718-984-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126527",
            "telephone_number": "718-984-7616",
            "fax_number": "718-984-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJAT",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "205325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00223699",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02108047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.