Active NPI
Ira Eliasoph, M.D.
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1912918970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 074243
- Practice address
- 133 E 73Rd St
Suite 501
New York, NY 10021-3556 - Phone
- (212) 988-4800
- Fax
- (212) 472-6883
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 074243 | NY | Primary |
Addresses
Primary practice location
133 E 73Rd St
Suite 501
New York, NY 10021-3556
Mailing address
133 East 73Rd Street
Suite 501
New York, NY 10021-3556
Phone (212) 988-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NS4178 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074243 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912918970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 EAST 73RD STREET",
"address_2": "SUITE 501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213556",
"telephone_number": "212-988-4800",
"fax_number": "212-472-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E 73RD ST",
"address_2": "SUITE 501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213556",
"telephone_number": "212-988-4800",
"fax_number": "212-472-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIASOPH",
"first_name": "IRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "074243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NS4178",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.