LONG ISLAND VITREO RETINAL CONSULTANTS (NPI# 1740474402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740474402 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND VITREO RETINAL CONSULTANTS |
| Practice Address |
600 Northern Blvd Ste 216 Great Neck NY 11021-5200 |
| Practice Telephone | 5164660390 |
| Practice Fax Number | 5164664956 |
| Mailing Telephone | 5164660390 |
| Mailing Fax Number | 5164664956 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | KIM MACCARONE (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5164660390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DR J SHAKIN | 45A371 | 01 |
| NY | DR B ROSENBLATT | 467A61 | 01 |
| NY | DR K GRAHAM | 423B91 | 01 |
| NY | DR D FASTENBERG | 71A461 | 01 |
| NY | DR E SHAKIN | 44I491 | 01 |
| NY | DR V DERAMO | 316B51 | 01 |
| NY | DR P FERRONE | 5T9101 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13625 Maple Ave Ste 202, Flushing, NY 113553891 | 5164660390 | 5168290520 |
| 200 Motor Pkwy Ste A2, Hauppauge, NY 117885112 | 6312345666 | |
| 47 Commerce Ave Ste 2, Riverhead, NY 119013106 | 6319050666 | |
| 64 N Long Beach Rd, Rockville Centre, NY 115705030 | 5165941010 | |
| 9131 Queens Blvd Ste 209, Elmhurst, NY 113735511 | 7187936430 | 7187936321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497940019 | Long Island Vitreo Retinal Consultants | Ophthalmology | 47 Commerce Dr, Suite 2, Riverhead, NY 11901-3106 | 2007-09-06 |
| Street Address |
600 NORTHERN BLVD STE 216 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376861864 | David Yao Fei Poon | Ophthalmology | 600 Northern Blvd Ste 216, Great Neck, NY 11021-5200 | 2010-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561859 | Rad Bintareef | Ophthalmology | 658 Malta Ave Ste 101, Malta, NY 12020-4105 | 2019-11-06 |
| 1194213231 | Louis S. Angioletti Md PC | Ophthalmology | 55 5th St Suite 1801, New York, NY 10003 | 2018-04-24 |
| 1639436462 | Dov B Sebrow | Ophthalmology | 450 Gidney Ave Ste 201, Newburgh, NY 12550-3153 | 2012-04-18 |
| 1205129962 | Gregory Eli Stein | Ophthalmology | 40 W 72nd St Ste A, New York, NY 10023-4195 | 2011-05-26 |
| 1134224702 | Howard Jay Kaplan | Ophthalmology | 94 Pine St, Poughkeepsie, NY 12601-3942 | 2006-09-14 |
| 1679505374 | Peter E Weseley | Ophthalmology | 310 E 14th St # 419, New York, NY 10003-4201 | 2006-07-06 |
| 1790746220 | Samer Farah | Ophthalmology | 3250 Westchester Ave, Suite 203a, Bronx, NY 10461-4500 | 2006-04-02 |
| 1124012737 | Retina-vitreous Surgeons of Central New York, PC | Ophthalmology | 200 Greenfield Pkwy, Liverpool, NY 13088-6655 | 2005-09-09 |
| 1760481030 | Louis S Angioletti | Ophthalmology | 55 5th Ave Ste 1801, New York, NY 10003-4301 | 2005-07-19 |
| 1356963755 | Brandon B Johnson Md PC | Ophthalmology | 161 E 32nd St, New York, NY 10016-6002 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on LONG ISLAND VITREO RETINAL CONSULTANTS.
| 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.