Individual provider Active NPI

Eric D Donnenfeld, M.D.

  • Ophthalmology Physician
  • Garden City, NY
National Provider Identifier
1891790770
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
146389 Issued in NY
Practice address
711 Stewart Ave
Ste 160
Garden City, NY 11530-4731
Phone
(516) 500-4200
Fax
(516) 500-4124
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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 146389 NY Primary

Addresses

Primary practice location

711 Stewart Ave
Ste 160
Garden City, NY 11530-4731

Mailing address

825 E Gate Blvd Ste 111
Garden City, NY 11530-2136
Phone (516) 804-5200

Other identifiers 1

IdentifierTypeStateIssuer
00888940MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091204000110 NY Practitioner - Ophthalmology 9436246170 Reassigns benefits to 1 organization
I20110930000230 CT Practitioner - Ophthalmology 9436246170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Geisel School of Medicine at Dartmouth, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians
Ophthalmic Consultants of Connecticut PCGroup PAC ID 9537133210, 8 clinicians

Practice addresses (Care Compare)

2000 N Village Ave
Rockville Centre, NY 11570-1078
Phone (516) 766-2519

25 3Rd St
Stamford, CT 06905-5100
Phone (203) 975-1818

2860 Long Beach Rd
Oceanside, NY 11572-3114
Phone (516) 593-7709

450 Endo Blvd
Garden City, NY 11530-6723
Phone (516) 832-8000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Jul 1, 1997 Accepting new patients
Ophthalmic Consultants of Connecticut PC Ophthalmology CurrentSince Nov 15, 2000 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology Past Accepting new patients

Locations

1375 Kings Hwy
Fairfield, CT 06824
Phone (203) 366-8000

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

711 Stewart Ave
Ste 160
Garden City, NY 11530
Phone (516) 500-4200

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000

2000 N Village Ave
Ste 30
Rockville Ctr, NY 11570
Phone (516) 766-2519

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

2000 N Village Ave
#13202
Rockville Ctr, NY 11570
Phone (516) 766-2519

865 Merrick Ave
Ste 80N
Westbury, NY 11590
Phone (516) 804-5200

Networks

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

Interoperability endpoints

  • Direct secure messaging: eric.donnenfeld.p5@direct.ocli.nextgenshare.com
  • Direct secure messaging: eric.donnenfeld.p1@direct.ocli.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1891790770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-804-5200",
            "fax_number": "516-240-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 STEWART AVE",
            "address_2": "STE 160",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304731",
            "telephone_number": "516-500-4200",
            "fax_number": "516-500-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNENFELD",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "146389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.