JORDAN KASSOFF (NPI# 1407849292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407849292 |
Entity Type | Individual |
Full Name | JORDAN KASSOFF |
Credential | MD |
Practice Address |
63 Shaker Rd Sutie 101 Albany NY 12204-1030 |
Practice Telephone | 5184341042 |
Practice Fax Number | 5184344327 |
Mailing Telephone | 5184341042 |
Mailing Fax Number | 5184344327 |
Enumeration Date | 2005-08-26 |
Last Update Date | 2009-03-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 174732 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01413056 | 05 |
Street Address |
63 SHAKER RD SUTIE 101 |
City | ALBANY |
State | NY |
Zip Code | 12204-1030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518960541 | Sangbock Kim | Physical Medicine & Rehabilitation | 63 Shaker Rd, Ste 104, Albany, NY 12204-1030 | 2005-05-23 |
1366975831 | Dow Behavioral Health Medical PC | Psychiatry & Neurology | 63 Shaker Rd, Suite G05, Albany, NY 12204-1025 | 2017-04-11 |
1104276294 | Jessica Riggins | Nurse Practitioner | 63 Shaker Rd, Suite 201, Albany, NY 12204-1025 | 2016-06-20 |
1962815696 | St. Peter's Health Partners Medical Associates, P.C. | Nurse Practitioner | 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 | 2014-06-10 |
1932475985 | Albany Surgery Associates,pc | Surgery | 63 Shaker Rd, Ste#203, Albany, NY 12204-1030 | 2012-03-23 |
1497054498 | Capital District Interventional Spine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 63 Shaker Rd, Albany, NY 12204-1030 | 2011-03-17 |
1942501663 | Ana Maria Kausel | Internal Medicine | 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 | 2010-11-11 |
1396050613 | James E. Striker Md Pllc | Orthopaedic Surgery | 63 Shaker Rd, Suite G05, Albany, NY 12204-1030 | 2010-08-11 |
1538481965 | Susan Sunjung Kim I | Internal Medicine | 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 | 2010-02-26 |
1346424397 | Anna Yermakova Allen | Ophthalmology | 63 Shaker Rd, Suite 101, Albany, NY 12204-1030 | 2007-12-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
Find all providers in zip 12204 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
1609936400 | Christopher Forrest Gabriels | Ophthalmology | 960 Western Ave, Albany, NY 12203-2512 | 2006-12-11 |
1093802597 | Northeast Vitreo Retinal Assoc PC | Ophthalmology | 349 Northern Blvd, Albany, NY 12204 | 2006-10-06 |
1558463802 | Firmin (f) Forrest Gabriels | Ophthalmology | 960 Western Avenue, Albany, NY 12203 | 2006-09-05 |
1932136827 | Michael Donald Radosevich | Ophthalmology | 1365 Washington Ave., Suite 101, Albany, NY 12206-1099 | 2006-06-27 |
1760429831 | Bruce W Madsen | Ophthalmology | 2715 Willetta St Sw, Suite B, Albany, OR 97321-3471 | 2006-05-31 |
1316995269 | Edward Joseph Martin | Ophthalmology | 246 New Scotland Ave, Albany, NY 12208-3101 | 2006-05-04 |
1912981002 | Bailey, Wakil & Auringer Eye Physicians & Surgeons,pllc | Ophthalmology | 222 Great Oaks Blvd, Albany, NY 12203-5962 | 2005-12-01 |
1972585628 | Ramsey R Elhosn | Ophthalmology | 2 Executive Park Drive, 2nd Floor, Ophthalmology Health Center, Albany, NY 12203 | 2005-11-17 |
1780675124 | Asher Weiner | Ophthalmology | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2005-11-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.