NPIMap

Organization Active NPI

My Ophthalmologist, P.C.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1932279213
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
163544 Issued in NY
Legal business name
MY OPHTHALMOLOGIST, P.C.
Practice address
425 Madison Ave
Suite 802
New York, NY 10017-1110
Phone
(212) 396-1188
Fax
(212) 755-8479
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Adria Burrows, M.D.NPI 1841298932
Title
President
Phone
(212) 396-1188

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 163544 NY Primary

Addresses

Primary practice location

425 Madison Ave
Suite 802
New York, NY 10017-1110

Mailing address

425 Madison Ave
Suite 802
New York, NY 10017-1110
Phone (212) 396-1188

Other identifiers 1

IdentifierTypeStateIssuer
01024780MedicaidNY

National Provider Directory

National Provider Directory

Locations

425 Madison Ave
Rm 802
New York, NY 10017
Phone (212) 396-1188

Practitioners & affiliated clinicians

Practitioners 3

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1932279213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171110",
            "telephone_number": "212-396-1188",
            "fax_number": "212-755-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171110",
            "telephone_number": "212-396-1188",
            "fax_number": "212-755-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OPHTHALMOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-396-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "163544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01024780",
            "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 Dec 12, 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.

Verify at the official NPI Registry.