Active NPI
Ophthalmic Consultant of New York, PLLC
- Ophthalmology Physician
- Astoria, NY
National Provider Identifier
1881269264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OPHTHALMIC CONSULTANT OF NEW YORK, PLLC
- Practice address
- 2104 30TH Ave
Astoria, NY 11102-3332 - Phone
- (718) 757-0564
- NPI assigned
- May 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikola Ragusa, MD
- Title
- President
- Phone
- (718) 757-0564
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2104 30TH Ave
Astoria, NY 11102-3332
Mailing address
2532 47TH St
Astoria, NY 11103-1109
Phone (718) 757-0564
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.eyefinity.com/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631145600000",
"number": "1881269264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 47TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111031109",
"telephone_number": "718-757-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 30TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023332",
"telephone_number": "718-757-0564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMIC CONSULTANT OF NEW YORK, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-26",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A",
"authorized_official_last_name": "RAGUSA",
"authorized_official_first_name": "NIKOLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-757-0564",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://www.eyefinity.com/",
"affiliation": "N",
"endpointDescription": "EHR and Practice management is used to connect and send information to providers and patients in a secure fax format. patients also have access to a secure patient portal for their PHI.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2104 30th Ave",
"city": "Astoria",
"state": "NY",
"country_code": "US",
"postal_code": "111023332",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.