Individual provider Active NPI

Pamela A Weber

  • Ophthalmology Physician
  • Shirley, NY
National Provider Identifier
1235111089
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1657721 Issued in NY
Practice address
1500 William Floyd Pkwy
Suite 304
Shirley, NY 11967
Phone
(631) 924-4300
Fax
(631) 924-2525
NPI assigned
Nov 17, 2005
Last updated
May 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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 1657721 NY Primary

Addresses

Primary practice location

1500 William Floyd Pkwy
Suite 304
Shirley, NY 11967

Mailing address

1500 William Floyd Pkwy
Suite 304
Shirley, NY 11967
Phone (631) 924-4300

Other identifiers 1

IdentifierTypeStateIssuer
01184812MedicaidNY

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
I20070718000311 NY Practitioner - Ophthalmology 1355338385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1984
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)

1500 William Floyd Pkwy
Suite 304
Shirley, NY 11967-1800
Phone (631) 924-4300

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 surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1657721NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Vitreo Retinal Consultants PC Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Long Island Vitreo Retinal Consultants PC Ophthalmology Past Accepting new patients
Long Island Vitreo Retinal Consultants Ophthalmology Past Accepting new patients

Locations

283 Commack Rd
Ste 325
Commack, NY 11725
Phone (631) 486-6672

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

1500 William Floyd Pkwy
Ste 304
Shirley, NY 11967
Phone (631) 924-4300

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: pweber@vrcnortheast.intellechartdirect.net
  • Direct secure messaging: weber.pamela.007.0320078@pwmd.meditab.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1235111089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WILLIAM FLOYD PKWY",
            "address_2": "SUITE 304",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "11967",
            "telephone_number": "631-924-4300",
            "fax_number": "631-924-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WILLIAM FLOYD PKWY",
            "address_2": "SUITE 304",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "11967",
            "telephone_number": "631-924-4300",
            "fax_number": "631-924-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "PAMELA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1657721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01184812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

Verify at the official NPI Registry.