Provider Demographics
NPI:1053450312
Name:MARCEL MORDECHAI ADMONI, M.D., P.C.
Entity Type:Organization
Organization Name:MARCEL MORDECHAI ADMONI, M.D., P.C.
Other - Org Name:NEXT GENERATION EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:MORDECHAI
Authorized Official - Last Name:ADMONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-482-5775
Mailing Address - Street 1:54 RADNOR RD
Mailing Address - Street 2:NEXT GENERATION EYE CARE
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1429
Mailing Address - Country:US
Mailing Address - Phone:516-482-5775
Mailing Address - Fax:516-482-2336
Practice Address - Street 1:3457 82ND ST STE 1F
Practice Address - Street 2:NEXT GENERATION EYE CARE
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-2930
Practice Address - Country:US
Practice Address - Phone:718-446-8100
Practice Address - Fax:516-482-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X
NY191748207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY331630101OtherHEALTH PLUS KEW GARDENS H
NY331630102OtherHEALH PLUS JACKSON HEIGHT
NY0400770OtherGHI CBP
NY660000OtherHCPIPA
NYQN00100OtherAMERICHOICE NY
NY184622POtherHIP PRIS KGH
NY31590POtherHIP PRIS JH
NY1000039036OtherAFFINITY
NY191748-A27OtherHEALTHFIRST KEW GARDENS H
NY433B71OtherEMPIRE BCBS JACKSON HEIGH
NYP379137OtherOXFORD
NY1269964OtherUNITEDHEALTHCARE
NY040426017816OtherFIDELIS CARE NY
NY168287OtherELDERPLAN
NY191748OtherNYS LICENSE
NY01490862Medicaid
NY191748-B-27OtherHEALTHFIRST JACKSON HEIGH
NY433B72OtherEMPIRE BCBS KEW GARDENS H
NYQN00100OtherAMERICHOICE NY
NY31590POtherHIP PRIS JH