Provider Demographics
NPI:1831129931
Name:ADMONI, MARCEL MORDECHAI (MD)
Entity Type:Individual
Prefix:
First Name:MARCEL
Middle Name:MORDECHAI
Last Name:ADMONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NEXT
Other - Middle Name:
Other - Last Name:GENERATION EYE CARE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191748207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
113281421OtherFIDELIS CARE NY
3316301OtherHEALTH PLUS
1000039036OtherAFFINITY HEALTH PLAN
191748OtherHIP OF NY
4C3967OtherHEALTNET OF THE NORTHEAST
NY01490862Medicaid
168287OtherELDERPLAN
113281421OtherMETROPLUS HEALTH PLAN INC
0400770OtherGHI CBP
113281421Other1199NBF
P379137OtherOXFORD HEALTH PLANS INC
200127OtherWELLCARE OF NY
660000OtherHCPIPA/HERITAGE
1269964OtherUNITEDHEALTHCARE
1000039036OtherAFFINITY HEALTH PLAN
F83731Medicare UPIN
113281421Other1199NBF
168287OtherELDERPLAN
191748OtherHIP OF NY