Marc R Imundo MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MARC R IMUNDO MD PC

Practice address

230 Hilton Ave
Suite 107
Hempstead, NY 11550-8115

Phone

(516) 742-4442

Fax

(516) 505-0768

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marc R Imundo, M.D.NPI 1053303073

Title

Physician

Phone

(516) 742-4442

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Marc R Imundo, MD

  • Ophthalmology Physician
  • Hempstead, NY
  • NPI 1053303073
  Medicare reassignment Care Compare group NPD Authorized official
• Jose Rizal B. Fonacier, M.D.

  • Ophthalmology Physician
  • Hempstead, NY
  • NPI 1467542779
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1962661785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 107",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-742-4442",
            "fax_number": "516-505-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "SUITE 107",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-742-4442",
            "fax_number": "516-505-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC R IMUNDO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "IMUNDO",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-742-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Manigat, RN
• Victoria Maria Mannarino, ADULT NP-C
• Mossammat Mosfeka Mansur, M.D
• Kayon A. Maraj, SOCIAL WORKER
• Marc Adler MD PLLC
• Ellen Milagros Marchese, MD
• Marie E Mercure Nurse Practitioner in Psychiatry PLLC
• Marion K Salomon and Associates
• Peter J G Maris, MD
• Peter J.G. Maris Jr., M.D.

• Ophthalmology Physician in Hempstead, NY
• Providers in Hempstead, 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 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.