Peter Condax, M.D. PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

204160 Issued in NY

Legal business name

PETER CONDAX, M.D. PC

Practice address

2747 Crescent St
Ste 202
Astoria, NY 11102-3142

Phone

(718) 204-5250

Fax

(718) 728-4191

NPI assigned

May 30, 2007

Last updated

Jun 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Condax, M.D.NPI 1033170675

Title

President

Phone

(718) 204-5250

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Peter Condax MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peter Condax MD PC

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1962698662
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: jyu@condax.intellechartdirect.net
• Direct secure messaging: pcondax@condax.intellechartdirect.net

Practitioners 5

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.

• Peter Condax, M.D.

  • Ophthalmology Physician
  • Astoria, NY
  • NPI 1033170675
  Medicare reassignment Care Compare group NPD Authorized official
• George Condax, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1477529303
  Medicare reassignment Care Compare group NPD
• Jeffrey Jin-Yon Yu, MD

  • Retina Specialist (Ophthalmology) Physician
  • New York, NY
  • NPI 1790346609
  Medicare reassignment Care Compare group NPD
• Evan Louis Silvi, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1033102322
  NPD (past)
• Daniel Andrew Chruscicki, M.D.

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1861666463
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1972704450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "STE 202",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-204-5250",
            "fax_number": "718-728-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "STE 202",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-204-5250",
            "fax_number": "718-728-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER CONDAX, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "CONDAX",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-204-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "204160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02965259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Sarika Persaud, PSYD
• Gianni Persich, D.P.M.
• Samarauh Person
• Natalia Pertuzyustes
• Shohan Pervaze
• Peter Evdos, MD, PC
• Peter K. Caviris DMD, PLLC
• Catherine Peters
• Stamatina Petrakis
• Eric Fischer Petreson, BSN

• Ophthalmology Physician in Astoria, NY
• Providers in Astoria, 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 22, 2009; 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.