Individual provider Active NPI

Vincent A Deramo, MD

  • Ophthalmology Physician
  • Great Neck, NY
National Provider Identifier
1073626388
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
220050 Issued in NY
Practice address
600 Northern Blvd
Suite 216
Great Neck, NY 11021
Phone
(516) 466-0390
Fax
(516) 829-0520
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 220050 NY Primary

Addresses

Primary practice location

600 Northern Blvd
Suite 216
Great Neck, NY 11021

Mailing address

600 Northern Blvd
Suite 216
Great Neck, NY 11021
Phone (516) 466-0390

Other identifiers 1

IdentifierTypeStateIssuer
02192258MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vderamo@vrc.intellechartdirect.net Long Island Vitreo Retinal Consultants PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000186 NY Practitioner - Ophthalmology 5991776312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Vitreo Retinal Consultants PCGroup PAC ID 1355232158, 20 clinicians

Practice addresses (Care Compare)

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 466-0390

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
99.9 of 100Reported as group
Quality
99.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220050NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Vitreo Retinal Consultants PC Ophthalmology CurrentSince Jun 16, 1998 Accepting new patients
Long Island Vitreo Retinal Consultants PC Ophthalmology Past Accepting new patients
Long Island Vitreo Retinal Consultants Ophthalmology PastSince Jun 16, 1998 Accepting new patients

Locations

9131 Queens Blvd
Ste 209
Elmhurst, NY 11373
Phone (718) 793-6430

600 Northern Blvd
Ste 216
Great Neck, NY 11021
Phone 5164660390204

200 Motor Pkwy
Ste A2
Hauppauge, NY 11788
Phone (631) 234-5666

200 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 234-5666

1377 Motor Pkwy
Islandia, NY 11749
Phone (631) 234-5666

128 Mott St
Ste 408
New York, NY 10013
Phone (212) 732-0073

1600 Stewart Ave
Ste 411
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: vderamo68876@northwell.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1073626388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 216",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-466-0390",
            "fax_number": "516-829-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 216",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-466-0390",
            "fax_number": "516-829-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAMO",
        "first_name": "VINCENT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "220050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02192258",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vderamo@vrc.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Long Island Vitreo Retinal Consultants PC",
            "address_1": "600 Northern Blvd",
            "address_2": "Suite 216",
            "city": "Great Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.