Individual provider Active NPI

Andrew E Gewirtz, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1982601191
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
138815 Issued in NY
Practice address
524 E 20TH St
4H
New York, NY 10009-1302
Phone
(212) 995-8458
Fax
(212) 253-8002
NPI assigned
Jul 1, 2005
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 138815 NY Primary

Addresses

Primary practice location

524 E 20TH St
4H
New York, NY 10009-1302

Mailing address

524 E 20TH St
4H
New York, NY 10009-1302
Phone (212) 792-8192

Other identifiers 1

IdentifierTypeStateIssuer
00829552MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050126000494 NJ Practitioner - Ophthalmology 6800846056
I20050314001040 NY Practitioner - OphthalmologyPractitioner - Optometry 6800846056 Reassigns benefits to 1 organization
Practice locations: New York, NY; Southampton, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Fleckner M.D., P.C. Ophthalmology CurrentSince Feb 1, 2014 Accepting new patients
Queens Long Island Medical Group, P.C. Ophthalmology Current Accepting new patients
Medassist USA LLC CurrentSince Feb 24, 2022 Accepting new patients
9TH Street Vision Center Inc Ophthalmology PastSince Jan 1, 2018 Accepting new patients
Family Service League, Inc. Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
Stony Brook Ophthalmology, University Faculty Practice Corporation Ophthalmology Past Accepting new patients

Locations

419 E County Line Rd
Lakewood, NJ 08701
Phone (845) 377-6670

6134 188th St
Ste 218
Fresh Meadows, NY 11365
Phone (718) 454-7700

520 Franklin Ave
Ste 123
Garden City, NY 11530
Phone (516) 248-6868

1000 Zeckendorf Blvd
Garden City South, NY 11530
Phone (516) 542-5500

350 S Broadway
Hicksville, NY 11801
Phone (516) 733-8085

16995 137th Ave
#A
Jamaica, NY 11434

440 9th Ave
Fl 9
New York, NY 10001
Phone (212) 273-5700

300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

70 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 825-3600

225 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 294-0030

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1982601191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E 20TH ST",
            "address_2": "4H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091302",
            "telephone_number": "212-792-8192",
            "fax_number": "212-253-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E 20TH ST",
            "address_2": "4H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091302",
            "telephone_number": "212-995-8458",
            "fax_number": "212-253-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEWIRTZ",
        "first_name": "ANDREW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00829552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.