Tri State Eye Ophthalmology of Middletown PC
NPI 1053430256ActiveOrganization· Specialist· Middletown, NY
Specialist in Middletown, New York, registered in NPPES in March 2007. The authorized official on file is Severin Bohdan Palydowycz, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053430256 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Jan 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | MD049303L | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Specialist providers in Middletown
- 1063402261
- 1639158769
- 1861573966
- 1922118215
- 1447276704
- 1184962292
- 1205120482
- 1215568332
- 1225435795
- 1285683185
- 1336265941
- 1427019801
All 124 Specialist providers in Middletown · All Specialist providers in New York