Individual provider Active NPI

John Rocco Robilotto, OD, PHD

  • Optometrist
  • New York, NY
National Provider Identifier
1356420798
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007040-1 Issued in NY
Practice address
133 E 54TH St Ste 200
New York, NY 10022-4538
Phone
(212) 650-4888
NPI assigned
Nov 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 252 AK
Optometrist 152W00000X TUV007040-1 NY Primary

Addresses

Primary practice location

133 E 54TH St Ste 200
New York, NY 10022-4538

Mailing address

17 Baylis CT
Tarrytown, NY 10591-3601
Phone (646) 820-0096

Other practice location 1

17 Baylis Ct
Tarrytown, NY 10591
Phone (917) 518-1909

Other identifiers 1

IdentifierTypeStateIssuer
OD5856MedicaidAK

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
I20091028000161 NY Practitioner - Optometry 9133266943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New York Optometry, PLLCGroup PAC ID 8820350325, 4 clinicians

Practice addresses (Care Compare)

133 E 54TH St
Suite 200
New York, NY 10022-4538
Phone (212) 650-4888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252AKMDRegistered Dietitian
TUV007040-1NYMDOptometrist
007040NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of New York Optometry, PLLC Optometrist CurrentSince Jun 12, 2018 Accepting new patients
North Star Optical, LLC Optometrist Past Accepting new patients
Manhattan Vision Associates Optometrist PastSince Jan 1, 2008 Accepting new patients

Locations

133 E 54th St
Rm 200
New York, NY 10022
Phone (212) 650-4888

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.

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1356420798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BAYLIS CT",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913601",
            "telephone_number": "646-820-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 54TH ST STE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224538",
            "telephone_number": "212-650-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Baylis Ct",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "10591",
            "country_code": "US",
            "telephone_number": "917-518-1909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBILOTTO",
        "first_name": "JOHN",
        "middle_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "OD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "252",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007040-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD5856",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.