MEDICARE: MARCEL M ADMONI

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 State	Provider Identifier Issuer
1	331630101	OTHER	NY	HEALTH PLUS KGH
2	040426017816	OTHER	NY	FIDELIS CARE
3	168287	OTHER	NY	ELDERPLAN
4	20J743	OTHER	NY	EMPIRE BCBS
5	331630102	OTHER	NY	HEALTH PLUS JH
6	1269964	OTHER	NY	UNITED HEALTHCARE
7	0400770	OTHER	NY	GHI COMMERCIAL
8	184622P	OTHER	NY	HIP KGH
9	*P379137**	OTHER	NY	OXFORD
10	1000039036	OTHER	NY	AFFINITY
11	191748	OTHER	NY	LICENSE TO PRACTICE
12	191748-A27	OTHER	NY	HEALTH FIRST KGH
13	31590P	OTHER	NY	HIP JH
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	1035150	OTHER	NY	FIRST HEALTH
16	191748-B27	OTHER	NY	HEALTH FIRST JH
17	433B71	OTHER	NY	EMPIRE BCBS
18	QN00100	OTHER	NY	AMERICHOICE

General Provider Information

NPI Number	:	1336111467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARCEL M ADMONI

Provider Business Mailing Address
First Line	:	54 RADNOR RD
Second Line	:
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	:	SOLE PROPRIETOR/SELF EMPLOYED
Name	:	DR. MARCEL MORDECHAI ADMONI
Credential	:	M.D.
Telephone Number	:	516-482-5775

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	04/20/2021

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Directions to “MARCEL M ADMONI ” Practice Location

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