Bronx Ophthalmologic, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

207W00000X Issued in NY

Legal business name

BRONX OPHTHALMOLOGIC, PC

Practice address

4422 3Rd Ave
Bronx, NY 10457-2545

Phone

(914) 654-6543

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Gene Matusow, M.D.

Title

President/Owner

Phone

(914) 654-6543

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1962531046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "914-654-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "914-654-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX OPHTHALMOLOGIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MATUSOW",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "914-654-6543",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "207W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02128009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronx Medical-Cardiac, PLLC
• Bronx Metro Healthcare Medical PC
• Bronx Modern Medical. PC
• Bronx Nephrology Hypertension PC
• Bronx Ophthalmologic PC.
• Bronx Ophthalmology PC.
• Bronx Oral Surgery, PC
• Bronx Parents Housing Network, Inc.
• Bronx Park Dental PC
• Bronx Park Medical Surgical Associates PC

• Ophthalmology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.