Active NPI
Vito Saverio Larocca, MD
- Ophthalmology Physician
- Staten Island, NY
National Provider Identifier
1376637991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 152318
- Practice address
- 78 Todt Hill Rd
Suite 111
Staten Island, NY 10314-4528 - Phone
- (718) 442-3232
- Fax
- (718) 442-3989
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 152318 | NY | Primary |
Addresses
Primary practice location
78 Todt Hill Rd
Suite 111
Staten Island, NY 10314-4528
Mailing address
78 Todt Hill Rd
Suite 111
Staten Island, NY 10314-4528
Phone (718) 442-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00885305 | 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071220000580 | NY | Practitioner - Ophthalmology | 5799875282 | Practice locations: Staten Island, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152318 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond University Medical Center | Past | Accepting new patients | |
| Stephen Berch MD PC | Ophthalmology | Past | Accepting new patients |
| Maculacare, PLLC | Past | Accepting new patients |
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.
-
- Specialist
- New York, NY
- NPI 1841377355
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
-
- Ophthalmology Physician
- Hudson, NY
- NPI 1144463365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1376637991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 TODT HILL RD",
"address_2": "SUITE 111",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144528",
"telephone_number": "718-442-3232",
"fax_number": "718-442-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 TODT HILL RD",
"address_2": "SUITE 111",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144528",
"telephone_number": "718-442-3232",
"fax_number": "718-442-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCCA",
"first_name": "VITO",
"middle_name": "SAVERIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "152318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00885305",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.