DIAMOND DISTRICT CORNEAL, P.C. (NPI# 1518099209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518099209 |
| Entity Type | Organization |
| Organization Name | DIAMOND DISTRICT CORNEAL, P.C. |
| Other Organization Name | 5TH AVENUE EYE CENTER |
| Practice Address |
56-50 Myrtle Avenue Ridgewood NY 11385 |
| Mailing Address |
2 W 47th St Suite 202 New York NY 10036-3319 |
| Practice Telephone | 7184569500 |
| Mailing Telephone | 2127642020 |
| Mailing Fax Number | 2127682292 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | DR. ILAN COHEN (PRESIDENT) |
| Authorized Official Telephone | 2127642020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02426864 | 05 | |
| NY | RAILROAD MEDICARE GROUP PTAN | DQ1530 | 01 |
| NY | MEDICARE INDIVIDUAL PTAN | G400008555 | 01 |
| NY | RAILROAD MEDICARE INDIVIDUAL PTAN | P00818737 | 01 |
| Other Name | Type Code |
|---|---|
| 5th Avenue Eye Center | Doing Business As Name - Organization |
| Street Address |
56-50 MYRTLE AVENUE |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184852949 | Krishna Morar | Optometrist | 56-50 Myrtle Avenue, Ridgewood, NY 11385 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| 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 |
|---|---|---|---|---|
| 1952606774 | Raj Modi M.d. P.c | Ophthalmology | 55 44 Metropolitan Ave., Ridgewood, NY 11385-1221 | 2011-01-26 |
| 1508902065 | Richard Norden | Ophthalmology | 1144 E Ridgewood Ave, Ridgewood, NJ 07450-3915 | 2007-01-30 |
| 1699860932 | Charles Tsakrios Jr. | Ophthalmology | 89 N Maple Ave, 3rd Floor, Ridgewood, NJ 07450-3235 | 2006-10-03 |
| 1023117132 | Murray A Wolkstein | Ophthalmology | 200 S Broad St Unit B, Ridgewood, NJ 07450-5003 | 2006-09-22 |
| 1881702272 | Stephen Perrone | Ophthalmology | 6855 Fresh Pond Rd, Ridgewood, NY 11385-5263 | 2006-08-27 |
| 1669477485 | Bradford C Liva | Ophthalmology | 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451 | 2005-06-17 |
| 1265749964 | Amesur Eye Associates, P.a. | Ophthalmology | 947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450-2939 | 2010-09-02 |
| 1871817866 | Bradford C. Liva, M.d.,pa | Ophthalmology | 119 Prospect St Ste 1, Ridgewood, NJ 07450-4451 | 2010-03-18 |
| 1972747749 | Song Eun Lee | Ophthalmology | 1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952 | 2009-04-23 |
| 1962640029 | Stephen C. Perrone, M.d., P.C. | Ophthalmology | 6855 Fresh Pond Rd, Ridgewood, NY 11385-5263 | 2009-01-28 |
| Find all providers in RIDGEWOOD | ||||
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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.