Active NPI
Richard James Madonna, O.D.
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT4590
- Practice address
- 33 W 42ND St
Suny State College of Optometry
New York, NY 10036-8005 - Phone
- (212) 938-4060
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT4590 | NY | Primary |
Addresses
Primary practice location
33 W 42ND St
Suny State College of Optometry
New York, NY 10036-8005
Mailing address
4 Lagoon LN
Haverstraw, NY 10927-2101
Phone (845) 786-3340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244528 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.46 of 100
- Quality
- 73.89
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 75.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004590 | NY | MD | Mental Health Counselor |
| VUT4590 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| State of New York Comptrollers Office | Optometrist | Current | Accepting new patients |
Locations
33 W 42nd St
#10
New York, NY 10036
Phone (212) 780-4930
33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930
University Eye Ctr
New York, NY 10087
33 W 42nd St
New York, NY 10036
Phone (212) 780-4930
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Suny College of Optometry/University Eye Center
- Optometrist
- New York, NY
- NPI 1407829856
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1194798637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LAGOON LN",
"city": "HAVERSTRAW",
"state": "NY",
"postal_code": "109272101",
"telephone_number": "845-786-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"address_2": "SUNY STATE COLLEGE OF OPTOMETRY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100368005",
"telephone_number": "212-938-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADONNA",
"first_name": "RICHARD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT4590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00244528",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.