Organization Active NPI

Queens Ophthalmology PC

  • Ophthalmology Physician
  • Far Rockaway, NY
National Provider Identifier
1932138112
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
QUEENS OPHTHALMOLOGY PC
Practice address
5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Phone
(718) 380-8050
Fax
(718) 380-5303
NPI assigned
Jul 1, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Panus Romsaitong, MD
Title
President
Phone
(718) 380-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NY Primary

Addresses

Primary practice location

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Mailing address

440 W Bay Dr
Long Beach, NY 11561-1838
Phone (718) 380-8050

Other identifiers 1

IdentifierTypeStateIssuer
02698653MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1932138112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611838",
            "telephone_number": "718-380-8050",
            "fax_number": "718-380-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-380-8050",
            "fax_number": "718-380-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "ROMSAITONG",
        "authorized_official_first_name": "PANUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-380-8050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02698653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.