Organization Active NPI

Diabetic Eye Care Consultants of New York, PLLC

  • Ophthalmologic Surgery Clinic/Center
  • New York, NY
National Provider Identifier
1881120608
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
189544 Issued in NY
Legal business name
DIABETIC EYE CARE CONSULTANTS OF NEW YORK, PLLC
Practice address
218 Second Ave
Suite 402
New York, NY 10003-4201
Phone
(212) 979-4120
NPI assigned
May 11, 2017
Last updated
Apr 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Dr. Ronald Concetto Gentile, M.D.NPI 1124039854
Title
Managing Member
Phone
(212) 979-4120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 189544 NY Primary

Addresses

Primary practice location

218 Second Ave
Suite 402
New York, NY 10003-4201

Mailing address

218 2ND Ave # 402S
New York, NY 10003-5817
Phone (212) 979-4120

National Provider Directory

National Provider Directory

Locations

218 2nd Ave
#402S
New York, NY 10003
Phone (212) 979-4120

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1881120608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 2ND AVE # 402S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035817",
            "telephone_number": "212-979-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SECOND AVE",
            "address_2": "SUITE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034201",
            "telephone_number": "212-979-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC EYE CARE CONSULTANTS OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CONCETTO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-979-4120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NY",
            "license": "189544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.