MEDICARE: MARCEL MORDECHAI ADMONI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	191748	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	113281421	OTHER	FIDELIS CARE NY
2	3316301	OTHER	HEALTH PLUS
3	1000039036	OTHER	AFFINITY HEALTH PLAN
4	191748	OTHER	HIP OF NY
5	4C3967	OTHER	HEALTNET OF THE NORTHEAST
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	168287	OTHER	ELDERPLAN
8	113281421	OTHER	METROPLUS HEALTH PLAN INC
9	0400770	OTHER	GHI CBP
10	113281421	OTHER	1199NBF
11	P379137	OTHER	OXFORD HEALTH PLANS INC
12	200127	OTHER	WELLCARE OF NY
13	660000	OTHER	HCPIPA/HERITAGE
14	1269964	OTHER	UNITEDHEALTHCARE

General Provider Information

NPI Number	:	1831129931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCEL MORDECHAI ADMONI M.D.

Provider Business Mailing Address
First Line	:	54 RADNOR RD
Second Line	:	NEXT GENERATION EYE CARE
City	:	GREAT NECK
State	:	NY
Zip	:	11023-1429
Country	:	US
Telephone Number	:	516-482-5775
Fax Number	:	516-482-2336

Provider Business Practice Location Address
First Line	:	3457 82ND ST STE 1F
Second Line	:	NEXT GENERATION EYE CARE
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2930
Country	:	US
Telephone Number	:	718-446-8100
Fax Number	:	516-482-2336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	04/20/2021

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