Individual provider Active NPI

Gregory Patrizio, OD

  • Optometrist
  • Rockaway Park, NY
National Provider Identifier
1346124534
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011203 Issued in NY
Practice address
11310 Beach Channel Dr
Rockaway Park, NY 11694-2209
Phone
(718) 474-1234
NPI assigned
Aug 1, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011203 NY Primary

Addresses

Primary practice location

11310 Beach Channel Dr
Rockaway Park, NY 11694-2209

Mailing address

11310 Beach Channel Dr
Rockaway Park, NY 11694-2209
Phone (718) 474-1234

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260307000330 NY Practitioner - Optometry 8022590009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11310 Beach Channel Dr
Rockaway Park, NY 11694-2209

178 Beach 142ND St
Neponsit, NY 11694-1250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Optics Inc Optometrist CurrentSince Feb 1, 2026 Accepting new patients

Locations

11310 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 474-1234

Organizations & group practices 1

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": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1346124534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 BEACH CHANNEL DR",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942209",
            "telephone_number": "718-474-1234",
            "fax_number": "718-945-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 BEACH CHANNEL DR",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942209",
            "telephone_number": "718-474-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIZIO",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

Verify at the official NPI Registry.