Active NPI
Raymond E Mariani, O.D.
- Optometrist
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T005270
- Practice address
- 2000 N Village Ave
Ste 402
Rockville Centre, NY 11570-1001 - Phone
- (516) 766-2519
- Fax
- (516) 766-3714
- NPI assigned
- Jun 21, 2005
- 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 | T005270 | NY | Primary |
Addresses
Primary practice location
2000 N Village Ave
Ste 402
Rockville Centre, NY 11570-1001
Mailing address
825 East Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01350825 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050310000146 | NY | Practitioner - Optometry | 1951355106 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ophthalmic Consultants of Long Island
Practice addresses (Care Compare)
2000 N Village Ave
Rockville Centre, NY 11570-1078
Phone (516) 766-2519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005270 | NY | MD | Chiropractor |
| T005270 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Consultants of Long Island | Current | Accepting new patients | |
| Ophthalmic Consultants of Long Island | Past | Accepting new patients | |
| Ophthalmic Consultants of Long Island | Past | Accepting new patients |
Locations
4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400
825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200
711 Stewart Ave
Ste 160
Garden City, NY 11530
Phone (516) 500-4200
450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000
189 Forest Ave
Ste 2C
Glen Cove, NY 11542
Phone (516) 674-3000
755 Park Ave
Ste 1
Huntington, NY 11743
125 Oakland Ave
Ste 101
Port Jefferson, NY 11777
Phone (631) 828-7100
2000 N Village Ave
Ste 402
Rockville Ctr, NY 11570
Phone (516) 766-2519
2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777
2000 N Village Ave
#13202
Rockville Ctr, NY 11570
Phone (516) 766-2519
Interoperability endpoints
- raymond.marianiod.p1@direct.ocli.nextgenshare.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Rockville Centre, NY
- NPI 1285675660
NY
-
- Durable Medical Equipment & Medical Supplies
- Huntington, NY
- NPI 1154830701
-
- Ophthalmology Physician
- Stony Brook, NY
- NPI 1245271600
-
- Specialist
- Jackson Heights, NY
- NPI 1720156458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1205831724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 EAST GATE BLVD",
"address_2": "STE 111",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "11530",
"telephone_number": "516-804-5200",
"fax_number": "516-240-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N VILLAGE AVE",
"address_2": "STE 402",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701001",
"telephone_number": "516-766-2519",
"fax_number": "516-766-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIANI",
"first_name": "RAYMOND",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T005270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01350825",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.