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NPI Code Detail

MEDICARE: MARCEL MORDECHAI ADMONI, M.D., P.C.

MEDICARE: MARCEL MORDECHAI ADMONI, M.D., P.C.
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
1152W00000XOptometrist
2207W00000XOphthalmology Physician191748NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1331630101OTHERNYHEALTH PLUS KEW GARDENS H
2331630102OTHERNYHEALH PLUS JACKSON HEIGHT
30400770OTHERNYGHI CBP
4660000OTHERNYHCPIPA
5QN00100OTHERNYAMERICHOICE NY
6184622POTHERNYHIP PRIS KGH
731590POTHERNYHIP PRIS JH
81000039036OTHERNYAFFINITY
9191748-A27OTHERNYHEALTHFIRST KEW GARDENS H
10433B71OTHERNYEMPIRE BCBS JACKSON HEIGH
11P379137OTHERNYOXFORD
121269964OTHERNYUNITEDHEALTHCARE
13040426017816OTHERNYFIDELIS CARE NY
14168287OTHERNYELDERPLAN
15191748OTHERNYNYS LICENSE
16MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17191748-B-27OTHERNYHEALTHFIRST JACKSON HEIGH
18433B72OTHERNYEMPIRE BCBS KEW GARDENS H

General Provider Information

NPI Number : 1053450312
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARCEL MORDECHAI ADMONI, M.D., P.C.
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 : PRESIDENT
Name : MARCEL MORDECHAI ADMONI
Credential : M.D.
Telephone Number : 516-482-5775
Provider Enumeration Date : 02/05/2007
Last Update Date : 01/05/2021

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