1831129931 NPI number — MARCEL MORDECHAI ADMONI M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831129931 NPI number — MARCEL MORDECHAI ADMONI M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ADMONI

Provider First Name:

MARCEL

Provider Middle Name:

MORDECHAI

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

GENERATION EYE CARE

Provider Other First Name:

NEXT

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

5

NPI Number:

1831129931

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/20/2021

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

54 RADNOR RD

Provider Second Line Business Mailing Address:

NEXT GENERATION EYE CARE

Provider Business Mailing Address City Name:

GREAT NECK

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

11023-1429

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

516-482-5775

Provider Business Mailing Address Fax Number:

516-482-2336

Provider First Line Business Practice Location Address:

3457 82ND ST STE 1F

Provider Second Line Business Practice Location Address:

NEXT GENERATION EYE CARE

Provider Business Practice Location Address City Name:

JACKSON HEIGHTS

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

11372-2930

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

718-446-8100

Provider Business Practice Location Address Fax Number:

516-482-2336

Provider Enumeration Date:

07/04/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207W00000X , with the licence number:  191748 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 113281421 . This is a "FIDELIS CARE NY" identifier . This identifiers is of the category "OTHER".
• Identifier: 3316301 . This is a "HEALTH PLUS" identifier . This identifiers is of the category "OTHER".
• Identifier: 1000039036 . This is a "AFFINITY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 191748 . This is a "HIP OF NY" identifier . This identifiers is of the category "OTHER".
• Identifier: 4C3967 . This is a "HEALTNET OF THE NORTHEAST" identifier . This identifiers is of the category "OTHER".
• Identifier: 01490862 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 168287 . This is a "ELDERPLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: 113281421 . This is a "METROPLUS HEALTH PLAN INC" identifier . This identifiers is of the category "OTHER".
• Identifier: 0400770 . This is a "GHI CBP" identifier . This identifiers is of the category "OTHER".
• Identifier: 113281421 . This is a "1199NBF" identifier . This identifiers is of the category "OTHER".
• Identifier: P379137 . This is a "OXFORD HEALTH PLANS INC" identifier . This identifiers is of the category "OTHER".
• Identifier: 200127 . This is a "WELLCARE OF NY" identifier . This identifiers is of the category "OTHER".
• Identifier: 660000 . This is a "HCPIPA/HERITAGE" identifier . This identifiers is of the category "OTHER".
• Identifier: 1269964 . This is a "UNITEDHEALTHCARE" identifier . This identifiers is of the category "OTHER".